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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
$165.96 / $489.78 / $489.78
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$38.02 / $177.83 / $257.04
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$165.96 / $165.96 / $489.78
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$154.88 / $177.83 / $177.83