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Wisconsin rates for HCPCS G2071

Medication assisted treatment, buprenorphine (implant removal); weekly 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
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,364.30 / $1,594.29 / $2,445.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$567.75 / $879.91 / $999.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.40 / $58.40 / $58.40