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Illinois 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
$1,932.70 / $2,006.39 / $2,022.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,792.34 / $1,851.62 / $2,086.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,349.75 / $2,490.73 / $2,984.18
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.40 / $345.40 / $345.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $2,500.00 / $2,500.00