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Pennsylvania rates for HCPCS Q9992

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,016.42 / $4,625.13 / $6,008.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,016.42 / $2,036.59 / $6,049.88
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,859.49 / $2,187.63 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,092.51 / $2,092.51 / $2,092.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.29 / $2,016.42 / $2,016.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,016.42 / $2,016.42 / $2,016.42
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,996.32 / $4,901.84 / $6,008.71
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,996.32 / $2,036.59 / $6,008.71
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.29 / $2,016.42 / $2,016.42
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,016.42 / $2,016.42 / $2,016.42
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,825.83 / $1,825.83 / $2,118.66
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,825.83 / $1,825.83 / $2,118.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,016.42 / $2,016.42 / $2,631.43