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Indiana 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 / $1,940.86 / $1,940.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,792.34 / $1,863.02 / $2,214.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,317.96 / $1,757.29 / $2,367.42
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,521.86 / $2,620.16 / $3,202.42
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,037.90 / $2,522.73 / $3,275.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,971.68 / $2,319.62 / $2,349.75