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Maryland 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 / $1,476.20 / $1,476.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,332.43 / $1,398.77 / $1,692.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,996.77 / $2,095.62 / $2,510.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,130.17 / $1,723.48 / $2,292.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,342.67 / $1,342.67 / $1,342.67