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Maine rates for HCPCS G0397

Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $60.26 / $61.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $64.57 / $81.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $67.61 / $97.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $57.54 / $102.33
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $83.18 / $162.18
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $64.57 / $85.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $97.72 / $134.90