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Michigan 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
$1,781.36 / $1,812.34 / $1,812.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,358.93 / $1,533.20 / $1,781.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.78 / $214.01 / $214.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.14 / $224.71 / $276.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,996.77 / $2,510.79 / $2,863.59
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,292.74 / $1,292.74 / $1,812.34
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,292.74 / $1,472.76 / $1,812.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $55.00 / $55.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,342.67 / $1,342.67 / $1,342.67