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South Dakota 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 / $103.99 / $142.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.28 / $157.85 / $210.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.22 / $327.39 / $1,496.82
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.00 / $215.57 / $248.85
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.75 / $134.93 / $193.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.35 / $231.11 / $286.33
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.60 / $197.10 / $205.00