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New Hampshire 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
$30.84 / $31.00 / $33.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.17 / $31.28 / $38.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.30 / $34.00 / $40.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.95 / $30.95 / $30.95
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.38 / $51.06 / $101.99
Optum
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $28.18 / $28.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.61 / $55.91 / $87.47
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.90 / $32.28 / $3,000.00