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North Carolina rates for HCPCS 96127

Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation, per standardized instrument

Facilitymedian $7 · 10th–90th $4–$280%10%10th90th$7Professionalmedian $9 · 10th–90th $4–$330%5%10%10th90th$9$1.0$5.0$20.0$100.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.89 / $12.02 / $48.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $9.55 / $34.67
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$5.50 / $5.62 / $34.67
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $4.57 / $7.41
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $5.01 / $10.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $4.27 / $9.33
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.27 / $5.13 / $7.76
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $12.02
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $6.31 / $8.32
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $5.89 / $10.96
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $70.79 / $85.11
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $29.51 / $40.74