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Pennsylvania 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
$45.28 / $54.65 / $67.47
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.81 / $54.01 / $54.01
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.34 / $57.43 / $113.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.79 / $68.75 / $122.21
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.50 / $62.03 / $81.09
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.00 / $67.12 / $916.50
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.27 / $57.82 / $84.65
Optum
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.29 / $59.29 / $59.29
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.29 / $64.59 / $75.50
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.00 / $69.67 / $123.90
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.06 / $60.96 / $71.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.49 / $67.68 / $117.64