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Pennsylvania 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
$66.07 / $74.13 / $87.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $75.86 / $117.49
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $52.48 / $61.66
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $79.43 / $141.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $109.65 / $109.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $83.18 / $125.89
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $107.15 / $162.18
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $79.43 / $83.18
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $85.11 / $162.18
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $81.28 / $389.05
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $74.13 / $95.50
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $81.28 / $173.78
Optum
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $85.11 / $104.71
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $87.10 / $112.20
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $72.44 / $97.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $87.10 / $151.36