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Arizona rates for HCPCS 96121

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; each additional hour (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.62 / $51.97 / $69.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.74 / $73.31 / $99.31
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.36 / $68.58 / $81.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.86 / $74.86 / $91.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.63 / $60.12 / $75.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.78 / $109.78 / $109.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.00 / $84.00 / $139.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.82 / $76.11 / $123.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.14 / $93.98 / $491.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.70 / $85.84 / $158.16