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See a sample rate comparisonHCPCS G2078 Fee Schedule
HCPCS G2078 is classified under Procedures / Professional Services, in the Opioid Use Disorder - Evaluation and Treatment subgroup.
Take-home supply of methadone; 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
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Opioid Use Disorder - Evaluation and Treatment |
| Complexity Level | Low |
| ASAM Level | Level 1 - Outpatient Services |
| Care Type | Medication Assisted Treatment |
| Setting | Outpatient |
| Medicaid Fee Schedule | $40.71 median of the 6 states in the free preview · View Medicaid rates for G2078 |
National average reimbursement for HCPCS G2078 by major payers:
$32.47
BCBS / Anthem
$35.86
UnitedHealthcare
$38.62
Aetna
$31.10
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS G2078.
HCPCS G2078
5 of 5 sample ratesHigher to lower in this preview
Aztec Urgent Care, LLC
Aztec Urgent Care LLC
$66.56Published rateAztec Urgent Care, LLC
Aztec Urgent Care LLC
$66.56Published rateAztec Urgent Care, LLC
Aztec Urgent Care LLC
$42.13Published rateAztec Urgent Care, LLC
Aztec Urgent Care LLC
$42.13Published rateAztec Urgent Care, LLC
Aztec Urgent Care LLC
$42.13Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G2078 vs. Other Opioid Use Disorder - Evaluation and Treatment Codes
The table lists codes related to G2078. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| G2077-HCPCS | Low | Periodic assessment; assessing periodically by an otp practitioner and includes a review of moud dosing, treatment response, other substance use disorder treatment needs, responses and patient-identified goals, and other relevant physical, nutrition and psychiatric treatment needs and goals; may be informed by administration of a standardized, evidence-based assessment, or the need and interest for harm reduction interventions and recovery support services (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to each primary code |
| G2078-HCPCS | Low | Take-home supply of methadone; 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 |
| G2079-HCPCS | Low | 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 |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G2078. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G2078 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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