go back

Montana 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
$10.60 / $14.70 / $21.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.07 / $26.29 / $26.29
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.63 / $23.78 / $38.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.48 / $28.80 / $34.64