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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