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Idaho rates for HCPCS 96112

Developmental test administration (including assessment of fine and/or gross motor, language, cognitive level, social, memory and/or executive functions by standardized developmental instruments when performed), by physician or other qualified health care professional, with interpretation and report; first hour

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $177.83 / $208.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $128.82 / $213.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $229.09 / $257.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $190.55 / $245.47
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $147.91 / $239.88
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $144.54 / $245.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $181.97 / $251.19
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $128.82 / $208.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $165.96 / $234.42