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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
$54.95 / $54.95 / $67.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $64.57 / $77.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $67.61 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $57.54 / $57.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $79.43 / $154.88
Optum
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $53.70 / $53.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $95.50 / $165.96
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $52.48 / $52.48