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North Carolina 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
$31.94 / $31.94 / $34.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.97 / $31.94 / $39.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.67 / $32.28 / $76.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.61 / $42.61 / $42.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.95 / $30.95 / $51.61
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.58 / $32.54 / $48.10
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.80 / $35.42 / $48.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.63 / $41.23 / $71.67
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.47 / $160.47 / $160.47
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.91 / $399.91 / $399.91