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New Hampshire 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 / $85.11 / $85.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $74.13 / $102.33
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $52.48 / $52.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $69.18 / $69.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $91.20 / $112.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $83.18 / $147.91
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $87.10 / $169.82
Optum
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $93.33 / $114.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $109.65 / $194.98
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $56.23 / $56.23