go back

Indiana 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 / $1,543.60 / $1,543.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,365.29 / $1,497.09 / $1,734.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,007.00 / $1,342.67 / $1,808.84
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,040.90 / $2,083.86 / $2,546.94
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,696.53 / $2,083.86 / $2,604.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,506.47 / $1,772.32 / $1,977.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,342.67 / $1,342.67 / $1,342.67