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Kansas rates for HCPCS Q9992

Injection, buprenorphine extended-release (Sublocade), greater than 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $8,709.64 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $2,344.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $2,511.89 / $2,570.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $2,238.72 / $2,238.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $1,995.26 / $1,995.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $2,290.87 / $2,754.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $1,995.26 / $2,511.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $2,041.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $1,995.26 / $2,570.40