go back

Washington, DC 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

Professionalmedian $16 · 10th–90th $13–$210%20%10th90th$16$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
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $15.85 / $20.89
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $21.38 / $24.55
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $21.38 / $48.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $19.50 / $26.92
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $26.30 / $46.77