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Idaho 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
Facility
Modifier
Low / Median / High Price
$202.00 / $254.38 / $254.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.00 / $228.97 / $273.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.81 / $65.81 / $65.81
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.00 / $225.97 / $277.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,500.00 / $2,000.00 / $3,900.00