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Kansas 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
$2,822.99 / $8,696.82 / $8,696.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,016.42 / $2,056.75 / $2,822.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,063.42 / $2,306.17 / $2,427.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,274.53 / $2,274.53 / $2,274.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.29 / $1,902.29 / $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
$1,922.58 / $2,304.60 / $2,767.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,925.23 / $1,976.55 / $2,489.98
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 / $2,540.81