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Wisconsin rates for HCPCS J0575

Buprenorphine/naloxone, oral, greater than 10 mg buprenorphine

Facilitymedian $15 · 10th–90th $14–$850%20%40%10th90th$15Professionalmedian $15 · 10th–90th $14–$190%50%10th90th$15$0.0$0.1$0.5$2.0$10.0$50.0

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
$14.13 / $14.79 / $14.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $15.14 / $18.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $20.42
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $40.74 / $60.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $19.05 / $21.38
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $16.22 / $18.62
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $18.62 / $89.13
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $18.62 / $23.99
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $54.95 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $19.50 / $19.50
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $18.20 / $18.20
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $85.11 / $100.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.86 / $15.85 / $39.81
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $17.38 / $20.89