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Texas 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
$1,412.59 / $1,423.60 / $1,761.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,353.39 / $1,404.69 / $1,665.34
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,996.77 / $2,095.62 / $2,510.79
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,358.93 / $1,474.92 / $1,827.32
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.43 / $117.18 / $1,342.67
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,365.29 / $1,468.48 / $1,827.32
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,800,000.00 / $1,800,000.00 / $2,400,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,342.67 / $1,342.67 / $1,342.67
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,342.67 / $1,709.89 / $2,382.37