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Maryland rates for HCPCS G2069

Medication Assisted Treatment Buprenorphine (Injectable); Weekly Bundle Including Dispensing And/Or Administration Substance Use Counseling Individual And Group Therapy And Toxicology Testing If Performed (Provision Of The Services Bya Medicare-Enrolled Opioid Treatment Program)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,932.70 / $1,932.70 / $1,932.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,666.13 / $1,822.70 / $2,086.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,373.25 / $2,490.73 / $2,984.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,339.23 / $2,045.13 / $2,720.02