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South Dakota 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
$254.10 / $254.10 / $254.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.54 / $244.75 / $352.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.38 / $382.97 / $389.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.14 / $254.83 / $429.43