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New Mexico 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
$1,857.26 / $1,857.26 / $1,857.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,796.21 / $1,840.73 / $2,030.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,373.25 / $2,373.25 / $2,984.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $85.00 / $1,500.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,730.99 / $1,857.26 / $2,150.79
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,800,000.00 / $1,800,000.00 / $2,250,000.00