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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
$93.33 / $93.33 / $97.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $75.86 / $117.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $83.18 / $112.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $60.26
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $97.72 / $125.89
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $95.50 / $125.89
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $97.72 / $165.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $85.11 / $123.03