Office-Based Treatment For Opioid Use Disorder, Including Care Coordination, Individual Therapy And Group Therapy And Counseling; At Least 60 Minutes In A Subsequent Calendar Month in Maine
Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.
Maine Pricing in Context
In Maine, CPT code G2087 (Office-Based Treatment For Opioid Use Disorder, Including Care Coordination, Individual Therapy And Group Therapy And Counseling; At Least 60 Minutes In A Subsequent Calendar Month) carries an average Medicare payment of $227.22 — 4% below the national benchmark of $235.60. 19 providers across the state submitted claims for this procedure in 2023, performing 193 total services. Individual payments in ME 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 Maine is $376.46, 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 Maine 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 Maine lands near $644.47, with self-pay cash prices typically around $323.23. 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 Office-Based Treatment For Opioid Use Disorder, Including Care Coordination, Individual Therapy And Group Therapy And Counseling; At Least 60 Minutes In A Subsequent Calendar Month cost in Maine?
The average Medicare payment for Office-Based Treatment For Opioid Use Disorder, Including Care Coordination, Individual Therapy And Group Therapy And Counseling; At Least 60 Minutes In A Subsequent Calendar Month in Maine is $227.22, which is 4% below the national average of $235.60. Providers in ME typically bill $376.46 for this procedure.
What does Office-Based Treatment For Opioid Use Disorder, Including Care Coordination, Individual Therapy And Group Therapy And Counseling; At Least 60 Minutes In A Subsequent Calendar Month cost with insurance in Maine?
With commercial insurance in Maine, Office-Based Treatment For Opioid Use Disorder, Including Care Coordination, Individual Therapy And Group Therapy And Counseling; At Least 60 Minutes In A Subsequent Calendar Month costs an estimated $644.47. Without insurance, the estimated cash price is $323.23. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.
How many providers perform Office-Based Treatment For Opioid Use Disorder, Including Care Coordination, Individual Therapy And Group Therapy And Counseling; At Least 60 Minutes In A Subsequent Calendar Month in Maine?
19 providers in Maine billed Medicare for Office-Based Treatment For Opioid Use Disorder, Including Care Coordination, Individual Therapy And Group Therapy And Counseling; At Least 60 Minutes In A Subsequent Calendar Month in 2023, performing 193 total services. Medicare payments ranged from N/A to N/A depending on the provider.
Is Office-Based Treatment For Opioid Use Disorder, Including Care Coordination, Individual Therapy And Group Therapy And Counseling; At Least 60 Minutes In A Subsequent Calendar Month cheaper in Maine than the national average?
Yes — Office-Based Treatment For Opioid Use Disorder, Including Care Coordination, Individual Therapy And Group Therapy And Counseling; At Least 60 Minutes In A Subsequent Calendar Month costs 4% below the national average in Maine. The state average Medicare payment is $227.22 compared to $235.60 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.