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Alaska rates for HCPCS G2067

Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a Medicare-enrolled opioid treatment program)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.06 / $232.71 / $338.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.81 / $306.38 / $382.97
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.26 / $330.34 / $396.41
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.81 / $262.81 / $262.81
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.26 / $330.34 / $396.41
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.81 / $1,800,000.00 / $2,400,000.00