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New Jersey rates for HCPCS 97116

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

Facilitymedian $110 · 10th–90th $25–$3550%5%10th90th$110Professionalmedian $23 · 10th–90th $15–$450%10%10th90th$23$20.0$50.0$100.0$200.0$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
$24.55 / $102.33 / $371.54
Aetna
Facility/Professional
Facility
Modifier
CQ
Typical Low / Median / Typical High
$42.66 / $112.20 / $158.49
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $19.95 / $42.66
Aetna
Facility/Professional
Professional
Modifier
CQ
Typical Low / Median / Typical High
$18.62 / $32.36 / $588.84
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $25.70 / $48.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$169.82 / $169.82 / $169.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $35.48 / $63.10
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $33.88 / $33.88
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $26.92 / $33.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $26.30 / $28.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $32.36 / $66.07