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South Carolina rates for HCPCS 96121

Neurobehavioral Status Xm Phys/Qhp Ea Addl Hour

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.31 / $81.31 / $95.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.52 / $73.45 / $100.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.00 / $87.00 / $90.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.00 / $84.00 / $120.98
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.97 / $84.80 / $128.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.97 / $111.29 / $178.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.11 / $88.84 / $142.11