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Maine rates for HCPCS 96113

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
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.16 / $57.34 / $71.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.02 / $61.21 / $91.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.00 / $72.26 / $122.25
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.68 / $61.42 / $105.82
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.16 / $60.61 / $74.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.31 / $85.27 / $110.48