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Utah 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
$39.02 / $39.02 / $41.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.71 / $31.77 / $41.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.95 / $30.95 / $30.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.93 / $32.34 / $48.05
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.40 / $43.57 / $53.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.15 / $36.72 / $53.67