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South Dakota rates for HCPCS J0575

Buprenorphine/naloxone, oral, greater than 10 mg buprenorphine

Facilitymedian $7 · 10th–90th $7–$190%50%90th$7Professionalmedian $17 · 10th–90th $14–$210%20%40%10th90th$17$0.2$1.0$5.0$20.0$100.0

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
$18.20 / $18.20 / $18.62
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $15.14 / $18.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $16.98 / $20.89
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $23.99 / $89.13
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $18.62 / $20.42
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $15.49
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $17.38 / $19.95
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $7.08
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $7.08