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Oregon 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
$1,819.70 / $1,819.70 / $1,819.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $1,819.70 / $2,089.30
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $1,949.84 / $3,311.31
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $1,819.70 / $2,041.74
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $2,041.74 / $2,089.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $1,862.09 / $2,754.23
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $79.43 / $79.43