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South Carolina 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
$1,476.20 / $1,476.20 / $1,476.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,369.15 / $1,468.48 / $1,734.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.88 / $1,698.88 / $1,698.88
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,369.15 / $1,533.20 / $1,909.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,000.00 / $3,000.00 / $3,000.00