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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