go back

Nebraska 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
$1,603.54 / $1,603.54 / $1,603.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.19 / $1,550.96 / $1,640.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.42 / $479.31 / $571.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,977.00 / $1,996.77 / $2,510.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,404.33 / $1,694.19 / $2,808.58