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New Hampshire 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
$204.73 / $271.38 / $271.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.73 / $219.57 / $258.99
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.00 / $250.00 / $250.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.36 / $207.50 / $215.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.81 / $65.81 / $65.81
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.37 / $172.01 / $218.92