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Utah 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
$200.06 / $206.08 / $206.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.54 / $221.65 / $266.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.81 / $65.81 / $65.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $60.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.49 / $270.88 / $270.88