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Wisconsin 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
$245.00 / $245.00 / $245.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.14 / $242.89 / $286.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.31 / $197.67 / $209.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$702.87 / $821.36 / $1,259.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.38 / $389.10 / $513.23
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.06 / $248.50 / $346.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.06 / $248.50 / $352.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $384.63
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.35 / $251.26 / $346.60
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.23 / $258.23 / $258.23
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.81 / $65.81 / $65.81