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Nationwide rates for HCPCS 97129

Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes

Facilitymedian $23 · 10th–90th $16–$460%20%10th90th$23Professionalmedian $18 · 10th–90th $13–$350%20%10th90th$18$1.0$10.0$100.0$1.0K$10.0K$100.0K

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
$15.14 / $29.51 / $144.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $16.98 / $25.12
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $34.67
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $22.39 / $40.74
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $58.88 / $79.43
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $23.44 / $46.77
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $24.55 / $38.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $23.99 / $44.67

See more rates by state

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