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Pennsylvania 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
Facility
Modifier
Low / Median / High Price
$29.26 / $35.81 / $39.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.41 / $31.28 / $38.72
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.68 / $35.99 / $65.92
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 / $44.29
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.81 / $47.34 / $70.84
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.26 / $31.92 / $39.32
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.19 / $31.94 / $42.25
Martin's Point
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$131.00 / $131.00 / $145.00
Optum
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $28.18 / $28.18
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.12 / $32.00 / $71.09
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.61 / $42.61 / $42.61
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.95 / $30.95 / $44.29
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.38 / $28.98 / $34.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.98 / $32.01 / $35.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.51 / $39.26 / $65.83