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Maine 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
$1,339.81 / $1,339.81 / $1,761.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,339.81 / $1,389.03 / $1,603.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,007.00 / $1,342.67 / $1,396.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,977.00 / $1,977.00 / $2,471.25
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,761.00 / $1,761.00 / $1,761.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,339.81 / $1,389.03 / $1,640.51