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Washington rates for HCPCS J0575

Buprenorphine/naloxone, oral, greater than 10 mg buprenorphine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.83 / $37.24 / $38.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.90 / $15.83 / $18.54
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.32 / $90.00 / $90.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.32 / $18.32 / $19.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.88 / $16.88 / $21.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.59 / $7.10 / $8.67
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79,999.20 / $79,999.20 / $79,999.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.32 / $18.32 / $18.32
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.32 / $18.32 / $18.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $17.30 / $17.30