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Washington 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
$1,398.77 / $1,398.77 / $1,398.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,358.93 / $1,404.69 / $1,714.81
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.08 / $1,342.49 / $1,543.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,996.77 / $1,996.77 / $2,510.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.00 / $75.00 / $75.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,704.97 / $79,999.20 / $79,999.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,342.67 / $1,342.67 / $1,448.30
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,342.67 / $1,713.17 / $1,713.17