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Montana rates for HCPCS J0575

Buprenorphine/naloxone, oral, greater than 10 mg buprenorphine

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.45 / $15.45 / $15.45
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.83 / $18.62 / $18.62
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.47 / $8.47 / $8.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.30 / $17.30 / $17.30