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Vermont 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
$114.74 / $143.97 / $152.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.64 / $139.57 / $173.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.92 / $193.23 / $456.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.00 / $146.12 / $273.19
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.00 / $146.88 / $302.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.81 / $195.55 / $287.55