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Utah 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
$11.21 / $16.10 / $21.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.88 / $14.88 / $14.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.25 / $39.21 / $60.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.23 / $20.73 / $24.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.92 / $17.86 / $25.25