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Utah rates for HCPCS J0575

Buprenorphine/naloxone, oral, greater than 10 mg buprenorphine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $15.14 / $15.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $15.14 / $23.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $16.98 / $20.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $60.26
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $18.20 / $18.20
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.22 / $16.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $9.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $17.38 / $17.38