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Maine 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
$81.28 / $87.10 / $102.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $75.86 / $102.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $81.28 / $107.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $83.18 / $109.65
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $93.33 / $177.83
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $87.10 / $95.50
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $81.28 / $117.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $102.33 / $144.54