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Michigan rates for HCPCS J0575

Buprenorphine/naloxone, oral, greater than 10 mg buprenorphine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.90 / $14.90 / $46.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.90 / $14.90 / $15.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.57 / $35.61 / $67.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.06 / $14.35 / $15.11
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.68 / $5.68 / $5.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.83 / $15.83 / $21.09
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.90 / $18.25 / $41.46
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.90 / $17.21 / $22.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $1,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $17.30 / $17.66