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Rhode Island 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
$213.35 / $213.35 / $213.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.14 / $228.97 / $278.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.33 / $338.04 / $338.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.81 / $65.81 / $389.10