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New York rates for HCPCS G2086

Office-based treatment for opioid use disorder, including development of the treatment plan, care coordination, individual therapy and group therapy and counseling; at least 70 minutes in the first calendar month

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.31 / $402.90 / $477.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $351.68 / $448.69
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.75 / $424.75 / $424.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.70 / $375.64 / $678.75
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$406.29 / $406.29 / $406.29
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.29 / $406.29 / $553.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$547.66 / $547.66 / $547.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.11 / $418.11 / $418.11
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.54 / $332.00 / $1,102.45
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.48 / $639.36 / $956.84
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.55 / $440.94 / $502.67
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.92 / $533.54 / $990.76
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$547.66 / $547.66 / $547.66
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.51 / $423.05 / $904.11
Optum
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.23 / $413.23 / $413.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.17 / $463.55 / $999.51
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.46 / $440.94 / $502.67
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.79 / $577.63 / $1,027.81