go back

Pennsylvania rates for HCPCS J0575

Buprenorphine/naloxone, oral, greater than 10 mg buprenorphine

Facilitymedian $27 · 10th–90th $16–$450%20%10th90th$27Professionalmedian $15 · 10th–90th $14–$180%50%10th90th$15$0.0$0.2$2.0$20.0$200.0$2.0K$20.0K

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
$15.85 / $28.84 / $44.67
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $15.14 / $18.20
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $14.79 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $14.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $16.98 / $20.89
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $14.45 / $15.49
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $23.99 / $25.12
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $15.14 / $15.85
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.19 / $7.41 / $9.33
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $17.38 / $19.50