G2069 Medicaid reimbursement rates by state
Medication assisted treatment, buprenorphine. 8 state Medicaid programs publish a fee-for-service rate for G2069. Rates run from $1,678.38 in South Carolina to $2,049.10 in Nebraska, with a median of $1,960.22.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 8
- Median rate
- $1,960.22units vary by state
- Highest
- $2,049.10Nebraska
- Medicare (non-facility)
- —not on the physician fee schedule
G2069 rate in every state
One like-for-like fee-for-service rate per state, highest first. Units can differ between states; the per-hour column converts time-based units.
| State | Medicaid rate | Unit | Per hour | Managed-care plans | % of Medicare | Source |
|---|---|---|---|---|---|---|
| NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service) | $2,049.10since 2026-07-01 | — | — | Plans negotiate; applies out of network | — | Nebraska Medicaid Mental Health and Subs |
| MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service) | $2,026.86since 2026-01-01 | — | — | Plans negotiate; applies out of network | — | MHCP Fee Schedule - Current Fee Schedule |
| New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service) | $1,996.35since 2025-01-01 | — | — | Not classified | — | NJMMIS Procedure Master Listing CPTHCPCS |
| KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule | $1,979.58since 2026-01-01 | — | — | Not classified | — | KMAP Fee Schedule QMB Medicaid (FeeSched |
| IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service) | $1,940.86since 2023-07-01 | month | — | Plans must pay at least this | — | IHCP Professional Fee Schedule (Last Upd |
| MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service) | $1,841.17since 2026-07-01 | — | — | Plans must pay at least this | — | DOM Comprehensive Fee Schedule, Septembe |
| IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay) | $1,686.12since 2020-01-01 | — | — | Plans must pay at least this | — | Iowa Medicaid fee schedule #62 BEHAVIORA |
| South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service) | $1,678.38since 2020-07-01 | — | — | Not classified | — | SCDHHS Opioid Treatment Programs Fee Sch |
Rates are per the unit shown for each state; units can differ between states. Medicare amounts are computed from the CMS relative value file and locality cost indices with the CMS formula; states with several Medicare localities show a range. Confirm rates with the payer before billing.
Frequently asked questions
What does Medicaid pay for G2069?
It depends on the state. Of the 8 states with a published fee-for-service rate, the median is $1,960.22. Nebraska pays the most ($2,049.10) and South Carolina the least ($1,678.38).
Which state pays the highest Medicaid rate for G2069?
Nebraska, at $2,049.10, effective 2026-07-01.
Do managed-care plans pay the same rate for G2069?
Not necessarily. Each state's plan contracts decide whether plans must pay at least the fee-for-service rate, pay a state-set rate, or negotiate their own. The table shows the rule for each state, cited to the contract or statute.