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New Hampshire 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
$13.36 / $15.78 / $19.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.59 / $21.40 / $24.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.88 / $14.88 / $14.88
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.28 / $26.04 / $51.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.32 / $26.20 / $41.32
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.69 / $13.96 / $17.77