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Minnesota 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
$1,136.71 / $2,235.87 / $2,235.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,337.31 / $1,468.48 / $2,235.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,342.67 / $1,342.67 / $1,342.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,342.67 / $1,342.67 / $1,342.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,220.93 / $5,858.56 / $12,024.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,996.77 / $2,206.16 / $2,510.79
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,715.67 / $4,928.76 / $9,973.35
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,977.00 / $1,977.00 / $2,005.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.19 / $2,132.09 / $3,667.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,342.67 / $1,342.67 / $1,342.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,342.67 / $1,342.67 / $1,342.67