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South Dakota 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
$50.02 / $57.22 / $76.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.72 / $69.42 / $90.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.95 / $96.06 / $150.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.79 / $76.30 / $128.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.02 / $150.30 / $491.49
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.15 / $168.35 / $190.65
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.71 / $166.29 / $198.17
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.47 / $95.93 / $145.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.91 / $86.06 / $176.82
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.20 / $126.10 / $149.80