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Virginia 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
$212.12 / $246.24 / $257.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.54 / $223.16 / $258.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.28 / $176.36 / $207.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.81 / $65.81 / $65.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.91 / $267.10 / $353.17
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.08 / $246.24 / $332.42
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,071.00 / $4,071.00 / $4,071.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,071.00 / $4,071.00 / $4,071.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.49 / $207.49 / $207.49