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Texas 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)

Facilitymedian $229 · 10th–90th $200–$3310%20%10th90th$229Professionalmedian $214 · 10th–90th $129–$2510%20%40%10th90th$214$1.0$5.0$20.0$100.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218.78 / $257.04 / $269.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $218.78 / $257.04
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $239.88 / $269.15
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $128.82 / $128.82
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $79.43 / $269.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $15.49
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $398.11 / $398.11
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $229.09 / $316.23
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $218.78 / $263.03
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $208.93 / $524.81
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $229.09 / $331.13
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $15.49
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $213.80 / $338.84
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $281.84 / $338.84