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Rhode Island 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
$1,763.36 / $1,763.36 / $1,763.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,763.36 / $1,957.89 / $2,117.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,433.53 / $2,862.98 / $2,862.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,373.25 / $2,373.25 / $2,984.18