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Montana 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
$45.14 / $56.48 / $78.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.53 / $80.45 / $94.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.00 / $80.20 / $211.49
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.86 / $80.06 / $131.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.21 / $104.41 / $125.60