JJ Part B 2021 Opioid Treatment Program (OTP) Rates


Please be aware of the 2021 Opioid Treatment Program (OTP) payment rates effective January 1, 2021. The code and fees are listed below. 

Alabama

 

Code
Contractor #
Locality Name
Fee
Effective for Dates of Service
G2067
10112
Alabama
$202.57
1/1/2021
G2068
10112
Alabama
$246.27
1/1/2021
G2069
10112
Alabama
$1,810.29
1/1/2021
G2070
10112
Alabama
$4,938.37
1/1/2021
G2071
10112
Alabama
$409.90
1/1/2021
G2072
10112
Alabama
$5,148.55
1/1/2021
G2073
10112
Alabama
$1,400.28
1/1/2021
G2074
10112
Alabama
$155.12
1/1/2021
G2075
10112
Alabama
$0.00
1/1/2021
G2076
10112
Alabama
$172.14
1/1/2021
G2077
10112
Alabama
$105.78
1/1/2021
G2078
10112
Alabama
$37.38
1/1/2021
G2079
10112
Alabama
$81.08
1/1/2021
G2080
10112
Alabama
$29.68
1/1/2021
G2215
10112
Alabama
$92.02
1/1/2021
G2216
10112
Alabama
$13.71
1/1/2021

Georgia

 

Code
Contractor #
Locality Name
Fee
Effective for Dates of Service
G2067
10212
Georgia (ATL)
$211.13
1/1/2021
G2068
10212
Georgia (ATL)
$254.83
1/1/2021
G2069
10212
Georgia (ATL)
$1,819.16
1/1/2021
G2070
10212
Georgia (ATL)
$4,958.63
1/1/2021
G2071
10212
Georgia (ATL)
$431.13
1/1/2021
G2072
10212
Georgia (ATL)
$5,179.70
1/1/2021
G2073
10212
Georgia (ATL)
$1,409.15
1/1/2021
G2074
10212
Georgia (ATL)
$163.15
1/1/2021
G2075
10212
Georgia (ATL)
$0.00
1/1/2021
G2076
10212
Georgia (ATL)
$181.06
1/1/2021
G2077
10212
Georgia (ATL)
$111.26
1/1/2021
G2078
10212
Georgia (ATL)
$37.38
1/1/2021
G2079
10212
Georgia (ATL)
$81.08
1/1/2021
G2080
10212
Georgia (ATL)
$31.21
1/1/2021
G2215
10212
Georgia (ATL)
$92.15
1/1/2021
G2216
10212
Georgia (ATL)
$14.02
1/1/2021
G2067
10212
Georgia (OTHER)
$201.70
1/1/2021
G2068
10212
Georgia (OTHER)
$245.40
1/1/2021
G2069
10212
Georgia (OTHER)
$1,809.38
1/1/2021
G2070
10212
Georgia (OTHER)
$4,936.30
1/1/2021
G2071
10212
Georgia (OTHER)
$407.74
1/1/2021
G2072
10212
Georgia (OTHER)
$5,145.37
1/1/2021
G2073
10212
Georgia (OTHER)
$1,399.37
1/1/2021
G2074
10212
Georgia (OTHER)
$154.30
1/1/2021
G2075
10212
Georgia (OTHER)
$0.00
1/1/2021
G2076
10212
Georgia (OTHER)
$171.23
1/1/2021
G2077
10212
Georgia (OTHER)
$105.22
1/1/2021
G2078
10212
Georgia (OTHER)
$37.38
1/1/2021
G2079
10212
Georgia (OTHER)
$81.08
1/1/2021
G2080
10212
Georgia (OTHER)
$29.52
1/1/2021
G2215
10212
Georgia (OTHER)
$92.01
1/1/2021
G2216
10212
Georgia (OTHER)
$13.68
1/1/2021

Tennessee

 

Code
Contractor #
Locality Name
Fee
Effective for Dates of Service
G2067
10312
Tennessee
$199.78
1/1/2021
G2068
10312
Tennessee
$243.48
1/1/2021
G2069
10312
Tennessee
$1,807.39
1/1/2021
G2070
10312
Tennessee
$4,931.75
1/1/2021
G2071
10312
Tennessee
$402.97
1/1/2021
G2072
10312
Tennessee
$5,138.38
1/1/2021
G2073
10312
Tennessee
$1,397.38
1/1/2021
G2074
10312
Tennessee
$152.49
1/1/2021
G2075
10312
Tennessee
$0.00
1/1/2021
G2076
10312
Tennessee
$169.23
1/1/2021
G2077
10312
Tennessee
$103.99
1/1/2021
G2078
10312
Tennessee
$37.38
1/1/2021
G2079
10312
Tennessee
$81.08
1/1/2021
G2080
10312
Tennessee
$29.17
1/1/2021
G2215
10312
Tennessee
$91.98
1/1/2021
G2216
10312
Tennessee
$13.72
1/1/2021

Inclusion or exclusion of a fee schedule amount for an item or service does not imply any health insurance coverage.





Last Updated: 01/19/2021