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California 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 $15–$350%10%10th90th$21Professionalmedian $21 · 10th–90th $15–$590%10%10th90th$21$10.0$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
$15.85 / $16.98 / $114.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $18.20 / $58.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $34.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $36.31 / $75.86
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $38.02 / $38.02
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $27.54 / $47.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $23.99 / $56.23
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $25.12 / $33.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $20.89 / $31.62
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $141.25 / $141.25
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $177.83 / $177.83
Optum
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $70.79
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $20.42 / $30.90
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $26.30 / $60.26
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $77.62 / $77.62
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $23.99 / $30.90
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $25.70
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $24.55 / $52.48