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Hawaii 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 / $217.26 / $245.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.81 / $65.81 / $65.81
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.67 / $264.58 / $304.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.19 / $308.25 / $355.89