go back

Montana 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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.41 / $28.95 / $41.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.74 / $49.43 / $54.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.43 / $54.16 / $54.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.54 / $49.43 / $54.16
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.09 / $33.06 / $54.16
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.67 / $49.43 / $79.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.98 / $57.61 / $73.62