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Montana 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
$206.08 / $221.65 / $281.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.58 / $264.58 / $264.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.81 / $324.76 / $389.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.00 / $236.49 / $291.49
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.81 / $2,400,000.00 / $2,400,000.00