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Montana 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
Professional
Modifier
Low / Median / High Price
$1,807.25 / $1,848.63 / $2,214.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,373.25 / $2,490.73 / $2,984.18
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,666.13 / $1,837.43 / $2,216.36
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,800,000.00 / $2,400,000.00 / $2,400,000.00