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Wisconsin 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
$12.74 / $15.61 / $18.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.71 / $18.44 / $42.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.00 / $24.26 / $30.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.75 / $36.64 / $103.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.00 / $60.00 / $85.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.98 / $26.33 / $48.37
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.01 / $81.84 / $103.02
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.64 / $58.11 / $58.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $33.28 / $44.24