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Ohio 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
$825.00 / $850.00 / $1,637.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,358.93 / $1,412.59 / $1,734.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.97 / $53.13 / $1,342.67
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,700.75 / $1,955.86 / $2,551.13
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,289.37 / $2,289.37 / $2,289.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,996.77 / $2,095.62 / $2,510.79
Optum
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,342.67 / $1,821.80 / $2,429.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,342.67 / $1,342.67 / $2,429.06