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Tennessee 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
$1,369.15 / $1,369.15 / $1,369.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,358.93 / $1,382.76 / $1,714.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,694.19 / $2,541.29 / $2,541.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,977.00 / $2,206.16 / $2,547.11
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Optum
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,342.67 / $1,342.67 / $1,342.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,342.67 / $1,342.67 / $1,342.67