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Montana 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
$79.16 / $103.84 / $143.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.28 / $161.41 / $161.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.92 / $145.28 / $196.96
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.99 / $140.24 / $216.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.80 / $179.80 / $282.14