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Wyoming rates for HCPCS J0575

Buprenorphine/Naloxone Oral Greater Than 10 Mg Buprenorphine (Revised 01/01/2016)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.90 / $14.90 / $14.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.63 / $19.55 / $19.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $17.30 / $17.30