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Louisiana rates for HCPCS 96121

Neurobehavioral Status Xm Phys/Qhp Ea Addl Hour

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.66 / $98.09 / $123.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.58 / $78.39 / $110.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.98 / $85.49 / $136.34
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.29 / $61.53 / $73.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $84.00 / $113.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.00 / $86.08 / $154.81