go back

Utah 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
$81.28 / $81.28 / $83.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $63.10 / $81.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $57.54 / $87.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $97.72
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $95.50 / $109.65
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $72.44 / $85.11
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $83.18 / $128.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $67.61 / $100.00