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See a sample rate comparisonHCPCS G2073 Fee Schedule
HCPCS G2073 is classified under Procedures / Professional Services, in the Medication Assisted Treatment Programme subgroup.
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)
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Medication Assisted Treatment Programme |
| Complexity Level | Moderate |
| ASAM Level | Level 1 - Outpatient Services |
| Care Type | Medication Assisted Treatment |
| Setting | Outpatient |
| Medicaid Fee Schedule | $1,543.60 median of the 5 states in the free preview · View Medicaid rates for G2073 |
National average reimbursement for HCPCS G2073 by major payers:
$449.30
BCBS / Anthem
$1,364.37
UnitedHealthcare
$1,487.87
Aetna
$2,139.80
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS G2073.
HCPCS G2073
5 of 5 sample ratesHigher to lower in this preview
Aztec Urgent Care, LLC
Aztec Urgent Care LLC
$2,709.39Published rateAztec Urgent Care, LLC
Aztec Urgent Care LLC
$2,709.39Published rateAztec Urgent Care, LLC
Aztec Urgent Care LLC
$1,714.81Published rateAztec Urgent Care, LLC
Aztec Urgent Care LLC
$1,714.81Published rateAztec Urgent Care, LLC
Aztec Urgent Care LLC
$1,714.81Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G2073 vs. Other Medication Assisted Treatment Programme Codes
The table lists codes related to G2073. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| G2073-HCPCS | Moderate | 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) |
| G2074-HCPCS | Low | Medication assisted treatment, weekly bundle not including the drug, including substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services by a medicare-enrolled opioid treatment program) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G2073. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G2073 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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