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Colorado 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
$2,016.42 / $3,939.11 / $5,007.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,016.42 / $2,016.42 / $2,391.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,218.06 / $3,540.43 / $6,452.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,016.42 / $2,016.42 / $2,016.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.29 / $1,902.29 / $2,919.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,016.42 / $2,016.42 / $2,016.42
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,976.55 / $2,137.41 / $3,344.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,512.32 / $2,218.07 / $3,055.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,016.42 / $2,016.42 / $2,016.42