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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