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Maine rates for HCPCS G0396

Alcohol And/Or Substance (Other Than Tobacco) Misuse Structured Assessment (E.G. Audit Dast) And Brief Intervention 15 To 30 Minutes (Revised Description 10/01/2020)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.00 / $31.00 / $33.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.10 / $31.00 / $36.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.59 / $35.99 / $48.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.95 / $30.95 / $51.61
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.95 / $41.12 / $66.70
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.10 / $31.79 / $38.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.15 / $50.33 / $69.05