Each Additional 30 Minutes Of Counseling In A Week Of Medication Assisted Treatment, (provision Of The Services By A Medicare-Enrolled Opioid Treatment Program); List Separately In Addition To Code For Primary Procedure in Delaware
Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.
Top Providers in Delaware
| Provider | Medicare | Services |
|---|---|---|
| Addiction Medical Facility, Llc | $32.10 | 642 |
Delaware Pricing in Context
In Delaware, CPT code G2080 (Each Additional 30 Minutes Of Counseling In A Week Of Medication Assisted Treatment, (provision Of The Services By A Medicare-Enrolled Opioid Treatment Program); List Separately In Addition To Code For Primary Procedure) carries an average Medicare payment of $32.07 — 4% below the national benchmark of $33.45. 3 providers across the state submitted claims for this procedure in 2023, performing 653 total services. Individual payments in DE 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 Delaware is $49.76, 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 Delaware sits below the national Medicare average, commercial rates in the state may also run lower than the US median.
Using RAND 2024 commercial-to-Medicare ratios for Temporary Procedures procedures, the estimated commercial insurance price in Delaware lands near $73.54, with self-pay cash prices typically around $38.20. 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 Each Additional 30 Minutes Of Counseling In A Week Of Medication Assisted Treatment, (provision Of The Services By A Medicare-Enrolled Opioid Treatment Program); List Separately In Addition To Code For Primary Procedure cost in Delaware?
The average Medicare payment for Each Additional 30 Minutes Of Counseling In A Week Of Medication Assisted Treatment, (provision Of The Services By A Medicare-Enrolled Opioid Treatment Program); List Separately In Addition To Code For Primary Procedure in Delaware is $32.07, which is 4% below the national average of $33.45. Providers in DE typically bill $49.76 for this procedure.
What does Each Additional 30 Minutes Of Counseling In A Week Of Medication Assisted Treatment, (provision Of The Services By A Medicare-Enrolled Opioid Treatment Program); List Separately In Addition To Code For Primary Procedure cost with insurance in Delaware?
With commercial insurance in Delaware, Each Additional 30 Minutes Of Counseling In A Week Of Medication Assisted Treatment, (provision Of The Services By A Medicare-Enrolled Opioid Treatment Program); List Separately In Addition To Code For Primary Procedure costs an estimated $73.54. Without insurance, the estimated cash price is $38.20. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.
How many providers perform Each Additional 30 Minutes Of Counseling In A Week Of Medication Assisted Treatment, (provision Of The Services By A Medicare-Enrolled Opioid Treatment Program); List Separately In Addition To Code For Primary Procedure in Delaware?
3 providers in Delaware billed Medicare for Each Additional 30 Minutes Of Counseling In A Week Of Medication Assisted Treatment, (provision Of The Services By A Medicare-Enrolled Opioid Treatment Program); List Separately In Addition To Code For Primary Procedure in 2023, performing 653 total services. Medicare payments ranged from N/A to N/A depending on the provider.
Is Each Additional 30 Minutes Of Counseling In A Week Of Medication Assisted Treatment, (provision Of The Services By A Medicare-Enrolled Opioid Treatment Program); List Separately In Addition To Code For Primary Procedure cheaper in Delaware than the national average?
Yes — Each Additional 30 Minutes Of Counseling In A Week Of Medication Assisted Treatment, (provision Of The Services By A Medicare-Enrolled Opioid Treatment Program); List Separately In Addition To Code For Primary Procedure costs 4% below the national average in Delaware. The state average Medicare payment is $32.07 compared to $33.45 nationally. Factors like local cost of living, provider competition, and regional Medicare fee schedules all influence state-level pricing.
Related Guides
Related Data Sources
Data from CMS Medicare Physician & Other Practitioners (2023).
Read our methodology — how this data is sourced, computed, and verified.