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New Hampshire 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
$1,339.81 / $1,712.47 / $1,712.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,339.81 / $1,389.03 / $1,714.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,141.26 / $1,342.70 / $1,396.78
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$964.61 / $1,061.07 / $1,350.45