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Vermont 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
$36.14 / $36.14 / $38.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.10 / $34.77 / $43.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.61 / $45.52 / $77.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.95 / $30.95 / $77.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.95 / $49.43 / $78.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.29 / $50.61 / $102.75