Georgia · G2068

Medication Assisted Treatment, Buprenorphine (oral); 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 Opi in Georgia

Georgia Medicare Avg
$267.76
3% above national avg
National Medicare Avg
$260.27
All states combined
Billed Charge (GA)
$286.39
What providers submit
Est. Commercial (GA)
$609.56
National avg: $593.22
Est. Cash / Self-Pay (GA)
$281.94
Typical self-pay discount

Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.

538
Services in GA
12
Providers
N/A
Min Payment
N/A
Max Payment

Georgia Pricing in Context

In Georgia, CPT code G2068 (Medication Assisted Treatment, Buprenorphine (oral); 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 Opi) carries an average Medicare payment of $267.76 — 3% above the national benchmark of $260.27. 12 providers across the state submitted claims for this procedure in 2023, performing 538 total services. Individual payments in GA ranged from N/A at the low end to N/A at the high end, reflecting differences in provider setting (office vs. facility), modifiers, and the specific geographic locality code applied within the state.

The average billed charge in Georgia is $286.39, which is the figure uninsured patients would most likely encounter before any negotiation or charity discount. Medicare, by statute, only reimburses the allowed amount — the balance between billed and paid is written off under provider participation agreements. Insured patients generally pay a negotiated rate that falls between these two figures; the exact amount depends on plan design, deductible status, and in-network participation. Because Georgia sits above the national Medicare average, commercial rates in the state may also run higher than the US median.

Using RAND 2024 commercial-to-Medicare ratios for Temporary Procedures procedures, the estimated commercial insurance price in Georgia lands near $609.56, with self-pay cash prices typically around $281.94. Before scheduling, patients can request a Good Faith Estimate under the No Surprises Act, compare cash rates from hospital Machine-Readable Files, and confirm whether the provider is in-network with their specific plan. This page presents CMS reference data for informational use; it does not constitute medical or financial advice.

Frequently Asked Questions

How much does Medication Assisted Treatment, Buprenorphine (oral); 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 Opi cost in Georgia?

The average Medicare payment for Medication Assisted Treatment, Buprenorphine (oral); 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 Opi in Georgia is $267.76, which is 3% above the national average of $260.27. Providers in GA typically bill $286.39 for this procedure.

What does Medication Assisted Treatment, Buprenorphine (oral); 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 Opi cost with insurance in Georgia?

With commercial insurance in Georgia, Medication Assisted Treatment, Buprenorphine (oral); 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 Opi costs an estimated $609.56. Without insurance, the estimated cash price is $281.94. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform Medication Assisted Treatment, Buprenorphine (oral); 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 Opi in Georgia?

12 providers in Georgia billed Medicare for Medication Assisted Treatment, Buprenorphine (oral); 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 Opi in 2023, performing 538 total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is Medication Assisted Treatment, Buprenorphine (oral); 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 Opi cheaper in Georgia than the national average?

No — Medication Assisted Treatment, Buprenorphine (oral); 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 Opi costs 3% above the national average in Georgia. The state average Medicare payment is $267.76 compared to $260.27 nationally. Factors like local cost of living, provider competition, and regional Medicare fee schedules all influence state-level pricing.

Related

Data sourced from the CMS Medicare Physician and Other Practitioners dataset. See our methodology for details. Retrieved and formatted by PlainProcedure Editorial