go back

Maine rates for HCPCS G2011

Alcohol And/Or Substance (Other Than Tobacco) Misuse Structured Assessment (E.G. Audit Dast) And Brief Intervention 5-14 Minutes (Revised 10/01/2020)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.54 / $15.78 / $18.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $18.35 / $25.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.88 / $14.88 / $22.50
Community Health Options
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.30 / $28.30 / $28.30
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.46 / $20.61 / $32.07
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.42 / $15.87 / $22.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.42 / $23.52 / $33.36