go back

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