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North Carolina rates for HCPCS Q9992

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,793.85 / $2,159.69 / $3,467.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,793.85 / $2,016.42 / $2,395.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,506.12 / $3,235.20 / $4,027.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,630.56 / $1,630.56 / $2,088.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,016.42 / $2,016.42 / $2,016.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,016.42 / $2,016.42 / $2,540.81
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,793.85 / $2,399.54 / $2,794.89
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,674.80 / $1,674.80 / $1,674.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,016.42 / $2,016.42 / $2,621.35
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,682.21 / $2,688.77 / $10,082.10