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Pennsylvania rates for HCPCS G2079

Take home supply of buprenorphine (oral); up to 7 additional day supply (provision of the services by a Medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $87.10 / $87.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $87.10 / $91.20
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $61.66 / $69.18
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $8,511.38 / $77,624.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $89.13 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $79.43 / $100.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $87.10 / $87.10
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $87.10 / $87.10
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $14.13 / $87.10