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Vermont rates for HCPCS 97116

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

Facilitymedian $105 · 10th–90th $78–$2290%20%10th90th$105Professionalmedian $21 · 10th–90th $16–$490%20%10th90th$21$20.0$50.0$100.0$200.0

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$97.72 / $123.03 / $229.09
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $20.89 / $47.86
Aetna
Facility/Professional
Professional
Modifier
CQ
Typical Low / Median / Typical High
$44.67 / $44.67 / $44.67
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66.07 / $100.00 / $154.88
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $29.51 / $29.51
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $30.20 / $52.48
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $60.26 / $151.36
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $33.11 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $33.88 / $74.13