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Maine rates for HCPCS 96125

Standardized cognitive performance testing (eg, Ross Information Processing Assessment) per hour of a qualified health care professional's time, both face-to-face time administering tests to the patient and time interpreting these test results and preparing the report

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.40 / $102.17 / $117.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.63 / $127.07 / $159.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.52 / $125.51 / $227.66
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.22 / $126.96 / $197.55
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.40 / $110.34 / $134.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.34 / $163.98 / $208.14