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Utah 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
$43.73 / $55.40 / $73.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.00 / $79.91 / $112.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.93 / $32.34 / $60.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.53 / $74.23 / $90.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.20 / $63.27 / $92.85