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Alaska rates for HCPCS G2069

Medication assisted treatment, buprenorphine (injectable) administered on a monthly basis; 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
Professional
Modifier
Low / Median / High Price
$1,773.55 / $1,822.70 / $2,216.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,349.75 / $2,349.75 / $2,937.19
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,792.34 / $2,216.36 / $2,548.81
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,872.78 / $1,872.78 / $1,872.78
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,792.34 / $2,216.36 / $2,548.81
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,872.78 / $1,800,000.00 / $2,400,000.00