go back

Indiana 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
$51.29 / $61.66 / $75.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $72.44 / $100.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $123.03 / $123.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $75.86 / $114.82
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $63.10 / $77.62
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $58.88 / $58.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $97.72 / $134.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $83.18 / $107.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $87.10 / $131.83