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Arizona rates for HCPCS G2073

Medication assisted treatment, naltrexone; 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
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,533.20 / $1,533.20 / $1,761.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,358.93 / $1,412.59 / $1,714.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,074.14 / $1,074.14 / $1,315.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.47 / $939.87 / $1,208.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,996.77 / $1,996.77 / $2,510.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,375.04 / $1,579.20 / $2,473.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,342.67 / $1,342.67 / $1,342.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,342.67 / $1,342.67 / $1,342.67