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Utah 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
$1,375.04 / $1,375.04 / $1,375.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,371.43 / $1,415.58 / $1,665.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $60.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,342.67 / $1,807.43 / $1,807.43