go back

South Carolina rates for HCPCS J0575

Buprenorphine/Naloxone Oral Greater Than 10 Mg Buprenorphine (Revised 01/01/2016)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.27 / $15.27 / $61.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.27 / $15.27 / $15.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.60 / $22.13 / $36.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.63 / $16.63 / $16.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.88 / $16.88 / $21.09
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.27 / $15.83 / $18.93
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.05 / $16.05 / $16.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.43 / $18.03 / $23.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $17.30 / $17.30