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New Hampshire 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
$46.18 / $57.34 / $74.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.20 / $61.21 / $75.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.48 / $68.41 / $143.66
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.89 / $79.66 / $161.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.55 / $92.15 / $171.34
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.27 / $55.26 / $71.95