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Pennsylvania rates for HCPCS 96121

Neurobehavioral Status Xm Phys/Qhp Ea Addl Hour

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.20 / $74.61 / $95.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.61 / $73.31 / $95.22
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.79 / $78.65 / $153.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.78 / $109.78 / $109.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.00 / $84.00 / $126.91
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.91 / $109.39 / $177.00
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.31 / $91.51 / $538.02
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.20 / $76.18 / $168.77
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.07 / $76.76 / $136.22
Optum
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.88 / $85.90 / $109.22
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.77 / $87.30 / $112.95
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.78 / $109.78 / $109.78
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.00 / $84.00 / $120.93
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.45 / $74.67 / $90.73
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.45 / $77.02 / $97.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.06 / $89.69 / $156.71