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Kentucky rates for HCPCS Q9992

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,976.55 / $2,016.42 / $3,427.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,016.42 / $2,016.42 / $2,016.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,282.75 / $2,377.86 / $4,032.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,713.95 / $2,016.42 / $2,016.42
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,016.42 / $2,218.06 / $3,226.27
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,016.42 / $2,218.06 / $3,112.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,016.42 / $2,016.42 / $2,159.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,672.45 / $2,016.42 / $3,701.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,016.42 / $2,016.42 / $2,016.42