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Pennsylvania rates for HCPCS 96116

Neurobehavioral status exam (clinical assessment of thinking, reasoning and judgment, [eg, acquired knowledge, attention, language, memory, planning and problem solving, and visual spatial abilities]), by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report; first hour

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.36 / $89.09 / $196.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.69 / $85.21 / $117.85
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.88 / $140.88 / $140.88
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.74 / $95.20 / $171.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.25 / $130.25 / $308.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.00 / $98.00 / $151.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.29 / $135.18 / $177.00
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.85 / $106.73 / $150.94
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.98 / $90.97 / $231.56
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.75 / $93.74 / $183.27
Optum
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.09 / $99.69 / $121.07
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.26 / $102.51 / $129.82
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.94 / $130.25 / $308.74
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.00 / $98.00 / $143.93
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.08 / $82.69 / $100.51
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.08 / $94.68 / $113.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.35 / $102.51 / $180.07