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Pennsylvania 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
$1,376.87 / $1,393.81 / $1,476.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,353.39 / $1,393.81 / $1,665.34
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,311.81 / $1,543.30 / $1,543.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,996.77 / $2,095.62 / $2,510.79
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,376.87 / $1,393.81 / $1,476.20
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,339.28 / $1,389.03 / $1,665.34
Optum
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,342.67 / $1,342.67 / $1,342.67
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,342.67 / $1,342.67 / $1,557.02
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,996.77 / $2,095.62 / $2,510.79
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,336.77 / $1,336.77 / $1,336.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,342.67 / $1,342.67 / $1,342.67