| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.71 | $57.54 | $87.10 | |
BCBS
| Professional | $41.69 | $63.10 | $104.71 | |
Cigna
| Professional | $48.98 | $74.13 | $147.91 | |
United
| Professional | $48.98 | $69.18 | $128.82 |
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; each additional 30 minutes (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.71 | $57.54 | $87.10 | |
BCBS
| Professional | $41.69 | $63.10 | $104.71 | |
Cigna
| Professional | $48.98 | $74.13 | $147.91 | |
United
| Professional | $48.98 | $69.18 | $128.82 |
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