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Buprenorphine/Naloxone, Oral, 10 mg

Maine rates for HCPCS J0575

Buprenorphine/naloxone, oral, greater than 10 mg buprenorphine

Rates data updated July 2026.

How much does Buprenorphine/Naloxone, Oral, 10 mg cost?

$15.85

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $15.85 for this service. The price depends on where it is billed: about $15.85 from a physician practice, and about $46.77 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$15.85$15.85 to $15.85
FacilityA hospital or hospital-owned outpatient department$46.77$43.65 to $46.77

How much rates vary

Facilitymedian $47 · 10th to 90th $44 to $47Professionalmedian $16 · 10th to 90th $15 to $19
$0.1$1$10facility $47professional $16

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$46.77
Typical High
$46.77
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$15.85
Typical High
$15.85
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$15.85
Typical High
$18.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$15.85
Typical High
$15.85
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$15.85
Typical High
$19.05
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$43.65
Typical High
$46.77
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$15.85
Typical High
$46.77
United
Setting
Facility
Modifier
Global
Typical Low
$0.02
Median
$1.74
Typical High
$6.92
United
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$15.85
Typical High
$24.55

Where Maine sits

Rates are fairly even across states for this service. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Maine· 29th of 51

$15.85

LA $18.62MO $14.79

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.