go back

North Dakota 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
$1,002.98 / $1,136.71 / $2,235.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,136.71 / $1,412.59 / $2,235.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,977.00 / $2,095.62 / $2,510.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,337.31 / $1,601.19 / $3,069.36