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Illinois 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
$1,476.20 / $1,601.19 / $1,700.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,369.15 / $1,468.48 / $1,714.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,977.00 / $2,095.62 / $2,510.79
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554.71 / $707.61 / $859.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $2,500.00 / $2,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,342.67 / $1,342.67 / $1,342.67