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Virginia 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
$1,666.13 / $1,951.68 / $1,951.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,740.14 / $1,822.70 / $2,030.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.28 / $1,493.69 / $1,757.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,349.75 / $2,490.73 / $2,984.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,339.23 / $1,854.32 / $2,472.42
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,666.13 / $1,951.68 / $2,537.17
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,071.00 / $4,071.00 / $4,071.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,071.00 / $4,071.00 / $4,071.00