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Pennsylvania rates for HCPCS G2069

Medication Assisted Treatment Buprenorphine (Injectable); Weekly Bundle Including Dispensing And/Or Administration Substance Use Counseling Individual And Group Therapy And Toxicology Testing If Performed (Provision Of The Services Bya Medicare-Enrolled Opioid Treatment Program)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,803.93 / $1,820.86 / $1,932.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,768.01 / $1,820.86 / $2,086.44
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,695.16 / $1,994.31 / $1,994.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,373.25 / $2,490.73 / $2,984.18
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,803.93 / $1,820.86 / $1,932.70
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,753.90 / $1,816.09 / $2,036.46
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,505.50 / $3,505.50 / $3,505.50
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,373.25 / $2,490.73 / $2,984.18
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,751.39 / $1,751.39 / $1,751.39