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South Carolina rates for HCPCS J0575

Buprenorphine/naloxone, oral, greater than 10 mg buprenorphine

Facilitymedian $19 · 10th–90th $10–$620%10%10th90th$19Professionalmedian $15 · 10th–90th $14–$190%50%10th90th$15$0.2$1.0$5.0$20.0

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
$15.14 / $54.95 / $61.66
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $15.14 / $19.50
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $20.42 / $39.81
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $16.60 / $16.60
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $16.98 / $20.89
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $15.85 / $18.62
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $16.60
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $18.62 / $28.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.19 / $7.41 / $30.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $17.38 / $18.62