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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
$114.82 / $128.82 / $151.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $128.82 / $181.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $194.98 / $194.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $151.36 / $257.04
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $190.55 / $457.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $181.97 / $288.40