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Nebraska 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
$2,016.70 / $2,016.70 / $2,016.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,807.25 / $1,948.22 / $2,028.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.42 / $479.31 / $571.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,349.75 / $2,373.25 / $2,984.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,807.25 / $2,016.70 / $3,531.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.73 / $68.73 / $84.10