go back

Idaho 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
$1,435.00 / $1,694.89 / $1,694.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,358.93 / $1,398.77 / $1,714.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,996.77 / $1,996.77 / $2,510.79
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,372.46 / $1,478.05 / $1,790.43
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,500.00 / $2,000.00 / $3,900.00