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Minnesota 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
$31.06 / $32.99 / $34.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.05 / $31.82 / $38.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.20 / $27.34 / $27.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.72 / $72.77 / $106.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.02 / $118.01 / $242.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.22 / $40.54 / $48.58
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.99 / $99.28 / $200.90
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.88 / $38.25 / $38.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.01 / $41.06 / $69.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.29 / $77.44 / $399.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.55 / $69.56 / $113.47