go back

South Carolina 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
$1,932.70 / $1,932.70 / $1,932.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,796.21 / $1,845.88 / $2,273.32
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,006.50 / $2,006.50 / $2,006.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,020.53 / $2,020.53 / $2,020.53
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,763.36 / $1,938.17 / $2,477.92
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,000.00 / $3,000.00 / $3,000.00