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Michigan 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
$2,238.21 / $2,277.14 / $2,277.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,773.55 / $1,866.00 / $2,273.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.78 / $214.01 / $214.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.14 / $224.71 / $276.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,373.25 / $2,984.18 / $3,490.07
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,690.77 / $1,690.77 / $2,277.14
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,690.77 / $1,940.86 / $2,277.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $55.00 / $55.00