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New Hampshire rates for HCPCS 96121

Neurobehavioral Status Xm Phys/Qhp Ea Addl Hour

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.92 / $81.42 / $90.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.84 / $77.48 / $102.68
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.95 / $100.95 / $100.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.84 / $69.84 / $69.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.72 / $78.98 / $103.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.00 / $84.00 / $141.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.92 / $104.62 / $206.89
Optum
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.09 / $93.71 / $115.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.70 / $106.84 / $174.20
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.47 / $74.95 / $97.01