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New York 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
$1,803.02 / $1,837.43 / $1,837.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,773.55 / $1,825.83 / $2,117.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.00 / $60.00 / $64.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.96 / $58.27 / $1,757.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,373.25 / $2,490.73 / $2,984.18
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,022.40 / $2,022.40 / $2,022.40
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,022.40 / $2,022.40 / $2,022.40
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $555.00 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,373.25 / $2,490.73 / $2,984.18