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Massachusetts 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 / $1,957.89 / $1,957.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,773.55 / $1,825.83 / $2,117.23
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,373.25 / $2,490.73 / $2,984.18
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,977.87 / $1,977.87 / $1,977.87
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,940.49 / $1,940.49 / $1,960.99
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00