go back

South Dakota 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
$2,000.62 / $2,000.62 / $2,000.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,809.82 / $2,000.62 / $2,807.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,349.75 / $2,937.19 / $2,984.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,803.02 / $2,018.05 / $3,408.22