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Washington, DC 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 / $4,069.78 / $7,510.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,016.42 / $2,016.42 / $2,016.42
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,976.55 / $2,683.27 / $5,162.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.29 / $1,902.29 / $2,016.42
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,713.96 / $1,713.96 / $2,016.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,834.94 / $2,016.42 / $2,016.42