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Idaho 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
$1,866.00 / $2,016.55 / $2,016.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,773.55 / $1,825.83 / $2,036.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,373.25 / $2,373.25 / $2,984.18
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,799.52 / $1,880.60 / $2,337.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,500.00 / $2,000.00 / $3,900.00