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Tennessee 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
$1,796.21 / $1,796.21 / $1,796.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,773.55 / $1,809.82 / $2,036.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,015.85 / $3,023.78 / $3,023.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,349.75 / $2,690.16 / $3,105.91
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00