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Utah 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
$85.43 / $93.24 / $97.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.09 / $73.45 / $102.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $84.00 / $120.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.17 / $90.12 / $106.03
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.25 / $95.63 / $119.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.70 / $90.56 / $127.52