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Montana rates for HCPCS G0397

Alcohol And/Or Substance (Other Than Tobacco) Misuse Sructured Assessment (E.G. Audit Dast) And Intervention Greater Than 30 Minutes (Revised Description 10/01/2020)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.59 / $57.92 / $82.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.43 / $105.16 / $105.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.53 / $100.43 / $105.16
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.54 / $64.00 / $105.16
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.79 / $97.06 / $153.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.59 / $114.56 / $137.86