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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
$45.71 / $56.23 / $72.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $61.66 / $81.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $69.18 / $131.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $64.57 / $131.83
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $60.26 / $91.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $85.11 / $120.23