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Utah rates for HCPCS 96121

Neurobehavioral Status Xm Phys/Qhp Ea Addl Hour

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