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Utah 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
$89.13 / $102.33 / $186.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $131.83 / $190.55
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
$117.49 / $151.36 / $186.21
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $144.54 / $169.82
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $144.54 / $204.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $104.71 / $162.18