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Indiana 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
$228.24 / $235.76 / $235.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.30 / $235.75 / $266.33
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.00 / $250.00 / $256.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.61 / $207.49 / $279.52
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.06 / $318.27 / $389.00
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.96 / $318.27 / $397.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.81 / $65.81 / $273.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.49 / $207.49 / $207.49