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Arkansas rates for HCPCS 96121

Neurobehavioral Status Xm Phys/Qhp Ea Addl Hour

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.28 / $72.06 / $97.35
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.83 / $128.83 / $128.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.02 / $103.27 / $114.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $84.00 / $137.25
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.88 / $143.88 / $143.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.89 / $93.98 / $160.05