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Pennsylvania 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
Facility
Modifier
Low / Median / High Price
$58.80 / $72.05 / $75.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.59 / $61.73 / $72.59
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.91 / $67.36 / $131.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.13 / $83.13 / $83.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.73 / $57.73 / $86.20
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.12 / $88.75 / $132.83
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.80 / $61.46 / $75.56
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.72 / $63.71 / $76.34
Optum
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.14 / $54.14 / $54.14
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.67 / $81.80 / $136.19
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.13 / $83.13 / $83.13
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.73 / $57.73 / $86.20
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.77 / $56.74 / $66.70
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.74 / $66.44 / $69.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.17 / $73.70 / $126.67