go back

Arizona rates for HCPCS Q9991

Injection Buprenorphine Extended-Release (Sublocade) Less Than Or Equal To 100 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,157.57 / $3,978.80 / $6,049.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,016.42 / $2,218.07 / $6,049.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,677.26 / $6,832.93 / $10,973.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,315.40 / $1,913.30 / $12,826.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.29 / $2,016.42 / $2,016.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,016.42 / $2,016.42 / $2,016.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,970.45 / $2,391.63 / $3,109.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,976.55 / $1,976.55 / $1,976.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,016.42 / $2,016.42 / $2,016.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,016.42 / $2,016.42 / $2,016.42