go back

Maine 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
$1,754.43 / $1,754.43 / $2,303.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,754.43 / $1,816.09 / $1,997.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,317.96 / $1,757.29 / $1,827.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,349.75 / $2,349.75 / $2,937.19
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,303.00 / $2,303.00 / $2,303.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,754.43 / $1,816.09 / $2,016.70