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Montana 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
Professional
Modifier
Low / Median / High Price
$60.26 / $75.86 / $107.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,565.42 / $64,565.42 / $89,125.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $87.10 / $107.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $117.49 / $239.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $83.18 / $112.20
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $128.82 / $138.04
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $128.82 / $138.04
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $89.13 / $144.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $85.11 / $190.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $120.23 / $151.36