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Maine 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
$1,754.43 / $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