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South Carolina 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 / $228.24 / $228.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.98 / $226.13 / $266.33
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.04 / $258.23 / $258.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.23 / $258.23 / $258.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.81 / $65.81 / $65.81
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.00 / $237.27 / $294.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,000.00 / $3,000.00 / $3,000.00