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Minnesota rates for HCPCS 96121

Neurobehavioral Status Xm Phys/Qhp Ea Addl Hour

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.72 / $70.41 / $82.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.72 / $70.67 / $92.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.89 / $62.50 / $62.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.93 / $162.44 / $230.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.73 / $260.56 / $534.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.75 / $101.54 / $202.84
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$209.73 / $219.21 / $443.57
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.95 / $91.43 / $195.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.66 / $92.57 / $144.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.23 / $148.09 / $439.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.15 / $130.66 / $271.37