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Arizona 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 $21 · 10th–90th $17–$400%20%10th90th$21Professionalmedian $17 · 10th–90th $13–$280%10%20%10th90th$17$10.0$20.0$50.0$100.0

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
$16.98 / $158.49 / $165.96
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
$16.22 / $18.20 / $20.42
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $14.13 / $19.50
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $36.31 / $36.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $24.55 / $44.67
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $19.95 / $36.31
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $24.55 / $141.25
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
$19.95 / $23.99 / $44.67