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Missouri 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
Professional
Modifier
Low / Median / High Price
$1,369.15 / $1,527.96 / $1,604.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.17 / $1,407.16 / $1,855.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,996.77 / $1,996.77 / $2,510.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.19 / $1,601.19 / $3,119.03
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