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Pennsylvania rates for HCPCS 96020

Neurofunctional testing selection and administration during noninvasive imaging functional brain mapping, with test administered entirely by a physician or other qualified health care professional (ie, psychologist), with review of test results and report

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$150.22 / $165.84 / $492.54
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$178.90 / $178.90 / $178.90
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$165.84 / $165.84 / $492.54
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$178.90 / $178.90 / $178.90
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$155.31 / $155.31 / $177.50