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Wisconsin 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
$44.67 / $57.54 / $158.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $83.18 / $204.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $109.65 / $213.80
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $91.20 / $141.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $165.96 / $371.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $87.10 / $147.91
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $93.33 / $371.54
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $208.93 / $309.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $95.50 / $208.93