FREQUENTLY ASKED QUESTIONS

 

 

What can a neurocognitive evaluation tell me?

 

A "neuropsychological," or neurocognitive evaluation, can be useful in many ways.  They are designed to diagnose/classify and develop personalized treatment plans for common conditions of concern including:

 

Autism Spectrum Disorder

Autism Spectrum Disorder in Adults

ADHD

Specific Learning Disabilities including:

Dyslexia (Learning Disability in Reading)

Dyscalculia (Learning Disability in Math)

Non-verbal Learning Disability

Traumatic Brain Injury

Post-Concussion Syndrome

Mild Neurocognitive Disorders

Dementias including:

Alzheimer's

Lewy Body

Fronto-Temporal

 

Neurocognitive and emotional conditions associated with:

Stroke

Parkinson's Disease

Multiple Sclerosis

Epilepsy (seizure disorders)

Major Depressive Disorders

Anxiety Disorders

Long-Haul COVID-19

Infections that effect the central nervous system

Metabolic disorder that effect the central nervous system

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The treatment plans developed from a neuropsychological evaluation are used to help people and their family's reach their goals.  For example, treatment or action plans can help:

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1) Explain why a student is struggling academically, how instruction might best be tailored to utilize the patient's strengths, and how a patient might begin the process of learning how to become their own best instructor.

 

2) Explain why a person is struggling at work and how to improve performance.

 

3) Develop a strategy for applying to colleges or technical schools after high school graduation.

 

4) Develop detailed steps for how to apply for support services in the community the patient may be eligible for based on their confirmed condition.

 

5) Develop a vocational plan; that is, a specific plan for how one might identify their areas of interest that might translate into paid work. 

 

6) Vocational planning involves 1) identifying interests and 2) the level of maturity of various skill sets associated with different occupations, 3) learning how to explore real-life work-settings in areas of interest, 4) researching motivation and feasibility of embarking on needed training before paying for a "general degree," 5) determining costs of pursuing one occupational field verses another and  6) the return on educational investment an individual is likely to realize 7) in the region where they would like to live, and more.

 

7) Treatment plans are designed to help people in relationships with people, and how those relationships can be nurtured and developed given identified patterns of cognitive, personality, and emotional strengths and weaknesses.

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And much more...

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8) Many patients are concerned about changes they have witnessed in a family member or perhaps they have detected changes in themselves and are worried that they are "coming down with something they should be concerned about." The evaluation is very helpful in clarifying whether changes are normal for a person's age. The evaluations are also state-of-art for other situations to including: 1) Documenting your cognitive strengths and weaknesses; 2) Determining whether a "real" impairment actually exists or whether cognitive changes are actually due to the interference effects of medications, or acute or chronic stress or emotional fluctuations.  The evaluation is of paramount importance for identifying specific conditions that may be present alone or in combination, like ADHD, a learning disability, depression, anxiety, Autism Spectrum characteristics or a cognitive disorder, taking into consideration factors such as age, sex, education, mood, sleep, pain, etc. 3)  If real, rarely occurring changes are detected, the evaluation can help determine etiology, or what is causing the cognitive disorder. For example, determining whether cognitive or behavioral changes are likely related to Alzheimer's disease, Dementia with Lewy Bodies, or another form of dementia, or whether the changes are related to known medical condition like stroke, concussion, TBI, Epilepsy, or other condition; 4) Providing a baseline against which subsequent evaluations can be compared. A baseline evaluation is used to monitor and track if cognitive changes are in fact taking place by comparing exam data across evaluations.  The baseline data is also very useful for measuring whether a person is responding to specific treatment (e.g. medications, cognitive training); 5) Determining whether you might benefit from certain cognitive or behavioral treatments or pharmacotherapy.

 

 

Is this just a telehealth practice or are in-person appointments also available? 

 

In-person appointments are available.  MHI & Neurobehavioral Associates was created to increase accessibility of neuropsychological services and expertise to patients by trying to stay flexible.  Online assessment sessions, when appropriate, allow patients to access services from the comfort of their own home instead of having to travel long distances. Providing services virtually also allows us to offer services at lower rates because it removes the cost of maintaining office space. There are however circumstances where an in-person testing is 1) essential to obtain valid and reliable data and/or 2)  it is the patient's personal preference. In-person testing can be discussed and arranged on a case by case basis.  If Dr. Driscoll deems in-person testing is required and you are not able to travel to an office, Dr. Driscoll will try to help you find a provider in your area. 

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Are there specifically designed services for children and families coping with Autism Spectrum Disorder?

 

​We know that while diagnostic services for ASD children are rare and have extremely long waitlists, intervention services for families are even more difficult to find. That is why we are introducing a subscription-based support group to provide a forum for families to learn, share, and brain-storm strategies for how to cope with the challenges of living with the effects of ASD on the family.  This is not intended to be a "therapy" but an informed and supportive discussion group, and a place for encouragement.  We envision the group as guided and structured by a knowledgeable person in the field of Autism as a way to respond to the needs of parents, by crafting educational sessions on topics identified by the group a relevant and timely manner.  Group members will be respectful, always supportive, even prayerful for one another. The sessions will be private and confidential with proper group membership registrations and service agreements.   

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What will happen when I call to inquire about service?

 

First, a free 15-minute consultation is offered so that you can speak with Dr. Driscoll, get a sense for him, and see if evaluation services are what you really need.  Calls are returned within 1 business day when you leave a message.  If we agree that evaluation is the proper course, you will be asked to register as a new patient by completing a series of forms (sorry…). These include:

 

Demographics and contact information.

Consent for Treatment

Patient Rights to Privacy in Telehealth

Release of Information for Patients of Age who accept involvement of parent(s) or caregivers.

Permission to record sessions

Practice Policy and Procedures

 

 

What information/records do you need? 

 

After scheduling your appointment, you will be asked to complete an online intake questionnaire and will be provided with a link to upload relevant history and medical documents, such as results from any brain imaging (e.g., MRI, CT) or cognitive evaluations, if available.

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What is the Tiered Assessment Approach?

 

The Tiered assessment system enables us to perform the least amount of testing possible to obtain valid and reliable information, thereby reducing the stress on the patient and family and the cost of the evaluation.  In many practices, a standard battery is prescribed regardless of the referral question.  Many questions can be answered with fewer tests, less time, and expense.  Only if concerns arise about the quality or the depth of the Tier 1 data will additional testing be prescribed. For example, the Tier 1 data may be partially invalid because the patient may have been so uncomfortable with the telehealth format that their responses were inconsistent.  Or, the data may suggest the presence of a condition that requires deeper investigation and verification.  The testing that is conducted via telehealth has "built-in" validity indicators so that Dr. Driscoll can "see" if the data is trustworthy. If concerns about the data are found or if deeper investigation is needed, Dr. Driscoll will discuss these issues during your feedback session so that you understand fully why the additional testing is being recommended.    The Tiered approach to neurocognitive evaluation increases accessibility and reduces costs for patients by conducting only services that are necessary to answer the referral question. 

 

 

What will happen during my evaluation? (TIER 1) 

 

The first part of the evaluation will take place online during a video call. It will last approximately 2 hours. Dr. Driscoll will conduct a clinical interview to better understand your history, symptoms, and concerns.  Dr. Driscoll will take very careful notes and with your permission, the session will be recorded so that details are not missed.  As soon as the interview is converted to a written note, the audio recording is deleted.   Next, you will receive a series of forms to complete (I apologize in advance).  These are standardized assessments that address an array of issues related to attention, memory, and complex problem-solving. There is no right or wrong answer.  They inquire about your feelings and perceptions of yourself.  There will also be standardized forms for someone you chose to complete about you to obtain their point of view about your symptoms. Then, you will be scheduled for direct testing of your cognitive skills.  Depending on the Tier level of assessment recommended, these will include computer administered instruments and/or tests Dr. Driscoll administers to you during a video session.  Dr. Driscoll will then conduct all scoring and interpretation of the data (2 hours) and will meet with you at a separate appointment (1 hour) to discuss the results in detail. Following this meeting a written report will be provided along with recommendations for treatment as needed (1 hour).

The total time invested on Dr. Driscoll’s part for a Tier 1 evaluation is approximately 5-6 hours.

 

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What does a TIER 2 evaluation involve?

 

The TIER 2 exam validates and extends the inquiry of a TIER 1 exam.  An additional test administration session is scheduled in an online video appointment. This appointment will be 2-4 hours with breaks of course.  It involves more rigorous and comprehensive testing using tests that are more demanding.  Again, you cannot fail these tests.  You will not know how your are performing during the tests.  Your performance is compared to many, many other people your same age, to see if your performance shares similar qualities or if there are notable departures from normal characteristics. You cannot get all the items correct, no one can.  It is designed that way on purpose.  Just try to do your very best.

 

The TIER 2 exam consists of the additional test administration (2-4 hours), test scoring and data synthesis with TIER 1 data, interpretation, additional report writing, additional recommendations, and a new feedback session conducted via video conferencing.  The testing time and “behind the scenes” work is approximately 6 hours. 

 

 

What does a TIER 3 evaluation involve?

 

A TIER 3 evaluation requires in-person testing to obtain the most valid and reliable information possible. These examinations are reserved for younger children whose parents are concerned about possible learning disabilities, ADHD, Autism Spectrum Disorder or other conditions.  Some people are able to complete a Tier 3 evaluation virtually if we break into separate sessions.  These exams are usually known in advance, through the information obtained during initial consultation.  Evaluations that are requested to determine surgical candidacy, surgical planning, or post-surgical evaluations for planning rehabilitation services need to be conducted in-person.  The Tier 3 evaluation is particularly complex due to the need to investigate many conditions that have strong overlapping characteristics.  For example, for an adult concerned about undiagnosed Autism Spectrum Disorder, conditions like social anxiety, different types of personalities, Non-verbal Learning Disability, OCD, PTSD, depression and other issues need to be "ruled out" or identified as co-occurring conditions contributing to the clinical picture.  In total, these evaluations involve 12-15 hours of combined of testing, data analysis, extensive discussion with patients and family,  generation of written report and coordination with the patient’s care team. 

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Here is a more detailed breakdown of the procedures included for each evaluation Tier: 

 

TIER 1: 

 

This level of evaluation is designed for adults who are concerned about changes they have noticed in their cognition, who may have had experience with other family members who developed cognitive challenges as they grew older, and who want to “check themselves out” to make sure nothing concerning is actually taking place.  This evaluation involves the following:

- A clinical interview via telehealth

- An Adult History form sent to you by email for you to complete and send back.

- Completion of an online neuropsychological test battery that is administered via telehealth (a link to the test is sent to your email.  Just click on the link follow the steps.  It is designed for people who have little or no experience with computers.  The test takes about 45 minutes.  A family member can be with you to connect to the test if you would like.).

- Administration of 2 survey forms, one to you and one to someone who knows you very well.  It is a measure of your emotions.  There is no right or wrong answer.  It helps identify your state of reaction to any current stressors in your life that might be effecting your cognition.

- Finally, there is a 45 minute feedback session (via telehealth) with you about your test results.  You may certainly invite anyone else you wish to this session.

- You will receive a written report of your results along with recommendations as needed.

- Total time for interview, completion of forms, testing, feedback and report writing is approximately 3-5 hours.

 

TIER 2:

 

All of the services provided in Tier 1, plus ...

Online administration of comprehensive neuropsychological battery suitable for virtual administration that more fully measures attention and concentration, speech and language functions, academic achievement levels, memory, visuospatial processing, executive functions including comprehensive IQ testing, social-emotional evaluation, and adaptive functioning skills.

There will be a subsequent appointment for feedback or discussion of the results and further recommendations.

There will be an addendum report that incorporates all information gained form the additional assessment.

Dr. Driscoll is willing to consult with a child's school or child study team to participate in the 504 planning process or the development of an Individualized Educational Plan.  In fact, interaction with a child's school is invaluable in helping to identify the need for and develop accommodations.

 

Total time for interview, completion of forms, testing, feedback and report writing is approximately 6 - 9 hours.

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TIER 3

 

Includes all services from the Tier 1 and Tier 2 evaluations, plus

Administration of a test battery in a traditional, in-person manner.  Note, that neuropsychological testing is via telehealth is still a new endeavor. Most all test instruments were developed before COVID 19, when all testing was conducted in person.  And so, administering tests via telehealth is not the way the test instruments were originally designed to be given.  These same tests are being adapted at a rapid rate for virtual administration but the "norms" of these tests, that is, the scores of healthy children and adults to whom your child or loved on is being compared, may be less accurate because taking the tests via video conference may introduce a factor that weakens the accuracy of the scores. There are many studies that now compare how the "traditional administration" and telehealth administration of each instrument equates.  There is a growing body of literature that endorses use of the traditional tests via telehealth, that the administration methods are essentially equivalent, but there are still some tests that do not translate well.  Dr. Driscoll only uses tests that have an evidence base indicating that testing in-person and testing via telehealth are reasonably equivalent.  If there is concern that a particular testing session is not producing comparable data, then the test session is discarded and another approach is designed. For testing that is particularly complex due to the patient's young age or diagnostic concerns, attention problems, behavioral or emotional concerns, or if the test session was interrupted by technical malfunction, or a disturbance in the room where the patient is taking the test, adjustments will be made to obtain the best data possible. For cases where the data is being used to plan a surgery, i.e. Epilepsy surgery, or deep brain stimulation treatment in Parkinson's or essential tremor or other movement disorders, the testing must be done in person.  Arrangements can be made for such situations on a case by case basis.

 

Total time for interview, completion of forms, testing, scoring and interpretation of data, feedback and report writing is approximately 10 -15 hours.

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Is the Evaluation Covered by Insurance?

 

We have initiated the long process of contracting with insurance companies but at this time, Dr. Driscoll does not participate directly with insurance companies and is considered an out-of-network provider. Payment for services is made directly to the practice.  Many patients with PPO insurance plans are able to obtain reimbursement from their insurance company after services are completed.

 

Why Doesn't Dr. Driscoll Participate with Insurance?

Many psychologists and neuropsychologists have chosen to remain independent of insurance networks. Insurance companies often limit the services they will cover and may require access to portions of your clinical records as a condition of payment. In addition, many insurance plans provide only limited coverage for neuropsychological evaluations, even when performed by in-network providers.  Remaining out of network allows Dr. Driscoll to focus on providing timely, individualized, and confidential care without restrictions that may interfere with the evaluation process.

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How Does Payment Work?

 

Unlike a typical office visit, a neuropsychological evaluation is usually completed over several appointments, often occurring on different days. Depending on the reason for referral, the evaluation may include an initial consultation, testing sessions, review of records, interpretation of results, report preparation, and a feedback session.

Payment is expected at the completion of each appointment or service session. This approach allows patients to spread the cost of the evaluation over time rather than paying for the entire process up front.

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Will My Insurance Reimburse Me?

 

Many patients with PPO insurance plans are eligible for reimbursement for some or all of the costs associated with their evaluation. Although reimbursement cannot be guaranteed, our office will help you estimate the likelihood of reimbursement before your evaluation begins so that there are no unexpected surprises. We encourage all patients to contact their insurance company before scheduling to understand the specific benefits and limitations of their plan.

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Will You Submit Claims to My Insurance Company?

 

No. MHI & Neurobehavioral Associates does not bill insurance companies directly and cannot communicate with insurance companies on a patient's behalf.

 

At the conclusion of your evaluation, our office will provide you with a detailed SuperBill. A SuperBill is a cumulative summary of the professional services provided during the course of your evaluation. It includes the diagnosis codes and procedure (CPT) codes used, along with the specific information typically required by insurance companies for out-of-network reimbursement.

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You may submit the SuperBill directly to your insurance company, which will determine reimbursement according to the terms, deductibles, and out-of-network benefits of your specific policy.

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What Should I Do Before Scheduling?

 

We strongly recommend contacting your insurance company before beginning the evaluation. Our office will help you estimate your coverage and provide the procedure codes commonly used in neuropsychological evaluations. When speaking with your insurance company, consider asking:

• Do I have out-of-network benefits for psychological or neuropsychological evaluations?

• Is preauthorization required?

• What percentage of charges will be reimbursed?

• Does my plan have a deductible, and how much remains to be met?

• Are there limits on the number of hours covered for testing and interpretation?

• Are there restrictions on specific procedure (CPT) codes?

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Which Codes Should I Give My Insurance Company?

 

Below are the procedure (CPT) codes commonly used during a neuropsychological evaluation. These codes describe the services that may be provided during the evaluation process and will help your insurance company determine whether out-of-network reimbursement is available.

Our goal is to help you understand your financial responsibilities in advance and to provide the information you need to maximize any reimbursement available through your insurance plan.

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Probable diagnostic code used to request neuropsychological evaluation based:

294.9 (F09) Cognitive Problems‍

 

Tier 1 Evaluation Codes (needed for all patients):

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90791 - Psychiatric Diagnostic Interview (1 unit per evaluation)

96136 –Psychological/neuropsychological test administration/scoring by QHP (30 min) (1 unit of 30 minutes)

96137 –Each additional 30 minutes (30 min) (1 unit of 30 minutes)

96132 - Neuropsych testing by psych/phys first hour (1 unit hour)

96133 - Neuropsych testing by psych/phys addtl hr (1 unit hour)

96138 - Neuropsych testing by a psychometrist / first 30 minutes (1 unit)

96139 - Neuropsych testing by a psychomotrist / each addtl 30 minutes (up to 4 units)

 

Tier 2 Evaluation Codes (*needed for minority of patients):

 

90791 - Psychiatric Diagnostic Interview (1 unit per evaluation)

96136 –Psychological/neuropsychological test administration/scoring by QHP (30 min) (1 unit of 30 minutes)

96137 –Each additional 30 minutes (30 min) (6 units of 30 minutes)

96132 - Neuropsych testing by psych/phys first hour (1 unit hour)

96133 - Neuropsych testing by psych/phys addtl hr (2 - 3 unit hours)

96138 - Neuropsych testing by a psychometrist / first hour (1 unit)

96139 - Neuropsych testing by a psychomotrist / each addtl hour (up to 6 units)

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Tier 3 Evaluation Codes (*needed for minority of patients):

90791 - Psychiatric Diagnostic Interview (1 unit per evaluation)

96136 –Psychological/neuropsychological test administration/scoring by QHP (30 min) (1 unit of 30 minutes)

96137 –Each additional 30 minutes (30 min) (6 units of 30 minutes)

96132 - Neuropsych testing by psych/phys first hour (1 unit hour)

96133 - Neuropsych testing by psych/phys addtl hr (4 unit hours)

96138 - Neuropsych testing by a psychometrist / first hour (1 unit)

96139 - Neuropsych testing by a psychomotrist / each addtl hour (up to 8 units)

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How should I prepare for my evaluation? 

 

After you book your appointment, you will be sent a set of instructions for preparing for the cognitive evaluation, including how to access the telehealth platform, which will be used for the appointment. You may also be sent some testing materials by mail. Generally, patients should wear their glasses or hearing aids, if applicable, and take all medication as prescribed on the day of testing. We recommend using over-the-ear headphones that plug directly into your electronic device during the assessment, unless you frequently use Google Meet and do not have any trouble hearing from your electronic device. Regarding other technical preparations, we have created a document to help you get your electronic devices ready for the online appointment. We can also call you before your appointment for a "Tech Check" to make sure everything is ready to go.

 

Do I need a computer for the appointment?

 

Yes, for any telehealth sessions but you do NOT need to be a technology wiz to use MHI & Neurobehavioral Associates services. For cognitive evaluation appointments, you will need a computer or tablet with a screen that is at least 10 inches wide. This is the screen that you will see your neuropsychologist on.  Setting up your devices should only take a few minutes. We  email you simple written instructions on how set up access to Google Meet. If needed, MHI & Neurobehavioral Associates will call you before your appointment to help you with any technical issues. For treatment appointments and feedback sessions, you only need one device (e.g., phone, tablet, computer), though we recommend using a screen at least 10 inches wide.

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When do I need to pay and are fees refundable?  

 

Payment is required at the time of booking (reserving the evaluation session time).  You can book your appointment over the phone or on the self-serve calendar located on this website.  Click the button that says "Book Your Own Appointment."  Then, follow the steps to submit your payment on this secure site. 
 

All fees are refundable within 24 hours of purchase, minus any credit card processing fees that may have applied. All appointments can be rescheduled at no additional cost if done at least 72 hours in advance. If you reschedule with less than 72 hours notice, you will be charged a $199 rescheduling fee.

 

Can a family member or friend attend the evaluation? 

 

For Tier 1, close friends or family members can be present during the first part of the appointment (interview portion). In fact, the neuropsychologist will likely have questions for your loved one, such as asking whether they have noticed any changes in your thinking or behavior. However, once cognitive testing begins, friends and family can no longer be present. Tier 2 testing must be completed independently with the examiner.

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Are there certain situations where neurocognitive evaluations are not as helpful?

 

We do not recommend cognitive evaluations for individuals who are already dependent on others for basic activities of daily living  (e.g. showering, bathing, feeding, toileting) due to a well-documented cognitive disorder (e.g., late stage Alzheimer's disease). These patients, who we already know have a cognitive disorder, would likely perform so poorly on our cognitive tests that their scores would not be informative. However, testing may be helpful for those who are dependent on others for daily living but have not been diagnosed with a cognitive disorder yet or for family and caregivers to develop refined care plans and strategies. We don't recommend cognitive evaluations for those who are currently abusing alcohol or drugs or those with untreated severe psychiatric conditions (e.g., schizophrenia).

 

When will I receive results?  What can I do with them? 

 

Most patients will receive feedback from Tier 1 testing within 1-2 business days via a separate telehealth appointment. At the end of your appointment, the neuropsychologist will provide results, diagnoses, and recommendations. You will also be provided with a written  report to share with your referring provider, if you wish. For those patients who are recommended for additional testing (Tier 2 or 3), you will receive feedback within 7 days of completing testing. This will include a comprehensive written report.

You can save your written report for your own record and/or send it to your medical providers. MHI & Neurobehavioral Associates will also keep your results on file so that we can track cognitive changes over time through our annual repeat testing program. You will also be given recommendations for improving your cognitive and brain health. Some of the recommendations will be for services through MHI & Neurobehavioral Associates and others will be for services with other providers. We are beginning to build our network of quality providers who can help in delivering needed services.

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What are evaluation and management services?

 

Dr. Driscoll has found that many people need support not only to find services but to help navigate the medical and community services systems so that recommendations 1) actually get started and 2) that progress is monitored and tracked.  There needs to be a service where people who are recommended for certain kinds of help, can discuss the quality of the treatment they are receiving and try to measure their real-life response to such treatment. After all, if a treatment is not working, it needs to be investigated as to why.  If therapeutic effectiveness cannot be increased, it needs to be altered or changed.  For other people and families coping with chronic neurologic conditions, access and opportunity to discuss the status of their situation can be very helpful.  Dr. Driscoll refers to these consultations as "evaluation and management" sessions.  They can be scheduled as a separate service on a 1 x per month basis, or on another schedule depending on patient needs. 

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How much does it cost?

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Based on the Tier system of assessment, different referral questions tend to fit into a particular tier assessment battery.  The following list is approximate.  These "packaged assessments" are based on a billing rate of $225 per clinical hour (50 minutes).  You will always receive an estimated range of the total cost for an evaluation based on our initial discussion of your needs; that is, the questions you would like answered.  Here are some of the most common examples:

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Tier I (3 - 5 total hours)

Tier II (6 - 9 total hours)

Tier III (10 - 15 total hours)

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* "Total Hours" means the total number of hours involved in the case.  This includes all "face-to-face time" - interviews, test administration, feedback, AND "behind the scenes" or non-face-to-face time which includes  scoring of tests, data analysis, interpretation, report writing, coordination with care team. 

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Package Assessments for:

 

• Screening for conditions as listed below (Tier 1) ... $ 1125

• Learning Disability (Dyslexia, Dyscalculia) (Tier 2) ... $ 2025

• Memory Impairment (younger person) (Tier 1) ... $ 1125

• Concerns about Mild Cognitive Impairment in Adults (Tier 1 ... $ 1125, confirmation Tier 2 ... $ 2025)

• Child Autism Spectrum Disorder (Tier 3) ... $3375

• Adult Autism Spectrum Disorder (or what was formerly known as Asperger's Syndrome) (Tier 3) ... $ 3375

• Baseline assessment, intra-treatment tracking, post treatment comparisons for Exomind (EXOMIND uses patented ExoTMS™ technology to stimulate key areas of the brain responsible for emotional regulation, cognitive function, and self-control. By stimulating neural pathways, EXOMIND strengthens connectivity and supports healthy brain function, allowing individuals to restore clarity, balance, and well-being—without the need for traditional medications like antidepressants.) (Baseline - Tier 1, Intra-treatment tracking - Tier 1, Post-treatment - Tier 1) ... $1125 x 3 = $ 3375

• Neurocognitive effects of stroke, traumatic brain injury, other illnesses or conditions effecting the brain (Tier 2, or Tier 3) ... $ 2025 - $ 3375

• Neurocognitive effects associated with seizure disorders (Tier 3) ... $ 3375

• Differentiating neurocognitive impairment from the interference effects of mood, pain, medication interactions (Tier 2 or 3) ... $ 2025 - $ 3375

• Assessment of depression, anxiety, PTSD, or other affective conditions (Tier 2 or 3) ... $ 2025 - $ 3375

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