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Pennsylvania rates for HCPCS J0575

Buprenorphine/naloxone, oral, greater than 10 mg buprenorphine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.83 / $24.38 / $39.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.83 / $15.83 / $15.83
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.72 / $14.96 / $8,459.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.96 / $14.96 / $14.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.88 / $16.88 / $21.09
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.42 / $15.32 / $18.02
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.83 / $23.75 / $39.26
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.83 / $15.83 / $36.25
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.88 / $16.88 / $21.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $17.30 / $20.77