Buprenorphine and naloxone oral tablet, 3 to 6 mg

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

BUPRENORPHINE HCL-NALOXONE HCL 4-1 MG SL FILM

Payers reporting HCPCS J0573

Payer pricing summary

Low

Average

$63

Median

$27

High

$381

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +18 other terms	387	$17	$18	$10	54%	—	$1 – $71
2	Blue Cross Blue Shield fee schedule · outpatient · +17 other terms	140	$12	$15	$8	52%	—	$1 – $51
3	Aetna fee schedule · outpatient · +16 other terms	118	$16	$17	$13	76%	—	$6 – $81
4	Humana fee schedule · outpatient · +14 other terms	75	$25	$49	$163	335%	—	$4 – $1.7k
5	Bcbs Tx fee schedule · outpatient · +1 other terms	30	$22	$20	$7	33%	—	$8 – $35
6	Anthem facility · fee schedule · outpatient · +11 other terms	22	$6	$14	$10	67%	—	$1 – $51
7	Cigna facility · fee schedule · outpatient · +12 other terms	18	$8	$6.9k	$34.6k	499%	—	$0 – $180.0k
8	Magellan percent of total billed charges · outpatientfrom % of charges · +1 other terms	17	$160	$144	$148	103%	—	$2 – $316
9	Medcost percent of total billed charges · inpatientfrom % of charges · +4 other terms	17	$148	$135	$153	113%	—	$6 – $515
10	Beechstreet percent of total billed charges · inpatientfrom % of charges · +2 other terms	16	$241	$218	$219	100%	—	$18 – $506
11	Caresource facility · case rate · outpatient · +8 other terms	16	$48	$46	$19	41%	—	$4 – $82
12	Wellmark fee schedule · outpatient · +3 other terms	16	$4	$4	—	—	—	$4 – $4
13	Molina facility · case rate · outpatient · +12 other terms	15	$47	$52	$12	23%	—	$33 – $80
14	Aetna Better Health fee schedule · outpatient · +7 other terms	13	$8	$7	$1	19%	—	$4 – $8
15	Medica fee schedule · outpatient · +10 other terms	13	$24	$23	$6	25%	—	$14 – $30
16	Medical Mutual facility · percent of total billed charges · outpatientfrom % of charges · +2 other terms	13	$314	$350	$368	105%	—	$1 – $1.3k
17	Bcbs Nc percent of total billed charges · outpatientfrom % of charges · +2 other terms	12	$82	$80	$75	93%	—	$4 – $166
18	Optum facility · case rate · outpatient · +8 other terms	11	$45	$49	$11	22%	—	$40 – $73
19	Bcbs Nj fee schedule · outpatient	10	$7	$7	—	—	—	$7 – $7
20	Cigna Healthspring percent of total billed charges · outpatientfrom % of charges	9	$4	$24	$39	160%	—	$2 – $100
21	Oscar percent of total billed charges · inpatientfrom % of charges · +1 other terms	9	$16	$39	$75	191%	—	$9 – $279
22	Ucare fee schedule · both · +10 other terms	9	$7	$7	$0	3%	—	$7 – $7
23	Bcbs Mn fee schedule · both · +5 other terms	8	$8	$8	—	—	—	$8 – $8
24	Phcs percent of total billed charges · outpatientfrom % of charges · +4 other terms	8	$3	$7	$12	160%	—	$2 – $39
25	WellCare professional · fee schedule · both · +4 other terms	8	$0	$0	—	—	—	$0 – $0

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