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Arizona 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
Facility
Modifier
Low / Median / High Price
$1,822.70 / $1,822.70 / $2,303.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,773.55 / $1,825.83 / $2,036.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,405.83 / $1,405.83 / $1,722.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$966.51 / $1,230.09 / $1,581.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,373.25 / $2,373.25 / $2,984.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,796.21 / $1,940.65 / $2,972.41