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New Mexico 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
$1,417.39 / $1,417.39 / $1,417.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,369.15 / $1,412.59 / $1,637.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,996.77 / $1,996.77 / $2,510.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $85.00 / $1,500.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,375.04 / $1,417.39 / $1,779.37
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,800,000.00 / $1,800,000.00 / $2,250,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,342.67 / $1,342.67 / $1,342.67