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Illinois rates for HCPCS 96121

Neurobehavioral Status Xm Phys/Qhp Ea Addl Hour

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.52 / $69.42 / $197.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.10 / $71.38 / $92.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$324.56 / $324.56 / $324.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.83 / $92.76 / $142.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.78 / $109.78 / $109.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $84.00 / $131.21
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.46 / $85.85 / $326.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $110.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.52 / $94.56 / $164.20