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Maryland rates for HCPCS 96121

Neurobehavioral Status Xm Phys/Qhp Ea Addl Hour

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.31 / $81.31 / $95.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.55 / $73.31 / $103.47
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.15 / $85.72 / $104.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $84.00 / $124.39
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.34 / $68.45 / $99.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.26 / $86.04 / $152.10
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.88 / $99.45 / $110.51