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South Dakota 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
$1,640.51 / $1,640.51 / $1,640.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,382.76 / $1,604.90 / $2,235.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,977.00 / $2,471.25 / $2,510.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,382.76 / $1,695.36 / $2,772.46