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Vermont 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
$49.90 / $62.13 / $77.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.03 / $86.09 / $216.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.00 / $62.00 / $121.73
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.00 / $66.00 / $135.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.86 / $88.13 / $265.50