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Nebraska 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
$243.45 / $243.45 / $243.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.06 / $241.11 / $254.10
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.33 / $228.33 / $253.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.42 / $479.31 / $571.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.38 / $309.44 / $389.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.65 / $253.70 / $430.41