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Missouri rates for HCPCS J0575

Buprenorphine/naloxone, oral, greater than 10 mg buprenorphine

Facilitymedian $15 · 10th–90th $9–$420%20%40%10th90th$15Professionalmedian $15 · 10th–90th $14–$190%50%10th90th$15$0.0$0.1$0.5$2.0$10.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $14.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $14.79 / $18.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $17.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $15.85
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $18.62 / $89.13
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $18.62 / $19.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.86 / $24.55 / $26.92
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $17.38 / $18.62