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Idaho rates for HCPCS G2068

Medication assisted treatment, buprenorphine (oral); 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
$251.32 / $281.36 / $281.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.32 / $274.14 / $308.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.70 / $22.70 / $22.70
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.32 / $269.77 / $324.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,500.00 / $2,000.00 / $3,900.00