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Maine rates for HCPCS 97116

Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)

Facilitymedian $81 · 10th–90th $36–$1550%10%20%10th90th$81Professionalmedian $25 · 10th–90th $16–$540%10%10th90th$25$20.0$50.0$100.0$200.0$500.0$1.0K$2.0K

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
$32.36 / $45.71 / $91.20
Aetna
Facility/Professional
Facility
Modifier
CQ
Typical Low / Median / Typical High
$48.98 / $95.50 / $173.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $21.88 / $38.02
Aetna
Facility/Professional
Professional
Modifier
CQ
Typical Low / Median / Typical High
$38.90 / $38.90 / $44.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $31.62 / $56.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $20.42 / $20.42
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $33.11 / $67.61
Community Health Options
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $173.78 / $173.78
Community Health Options
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $34.67 / $57.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $41.69 / $60.26
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $34.67 / $4,168.69
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $28.18 / $52.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $38.02 / $72.44