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North Dakota 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
$1,313.95 / $1,489.14 / $2,807.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,489.14 / $1,848.63 / $2,807.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,349.75 / $2,490.73 / $2,984.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,751.93 / $2,006.39 / $3,648.35