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Vermont 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
$204.22 / $204.22 / $204.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.22 / $217.26 / $278.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.81 / $65.81 / $65.81
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.81 / $65.81 / $65.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.49 / $207.49 / $207.49