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Oregon rates for HCPCS 96121

Neurobehavioral Status Xm Phys/Qhp Ea Addl Hour

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.11 / $92.13 / $105.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.90 / $77.48 / $112.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.78 / $109.78 / $109.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.00 / $86.00 / $187.21
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.12 / $138.66 / $178.33
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.77 / $92.57 / $166.83
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.51 / $127.37 / $201.30
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.36 / $149.32 / $160.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.88 / $92.57 / $170.85
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.11 / $116.08 / $188.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.03 / $131.97 / $184.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.20 / $136.27 / $219.87