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New Hampshire 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
$60.14 / $60.20 / $63.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.29 / $62.57 / $78.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.60 / $67.42 / $79.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.73 / $57.73 / $57.73
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.84 / $98.25 / $194.06
Optum
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.14 / $54.14 / $54.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.63 / $93.78 / $166.06
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.37 / $58.39 / $71.92