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Connecticut 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 $105 · 10th–90th $21–$4170%10%20%10th90th$105Professionalmedian $17 · 10th–90th $13–$300%10%20%10th90th$17$10.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $104.71 / $416.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $16.98 / $28.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $57.54 / $87.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $21.38 / $29.51
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $30.90 / $63.10
ConnectiCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $43.65 / $47.86
Health New England
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $60.26 / $60.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $23.44 / $34.67