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Iowa 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 $28 · 10th–90th $14–$780%20%10th90th$28Professionalmedian $18 · 10th–90th $14–$300%10%20%10th90th$18$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
$40.74 / $41.69 / $77.62
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $16.98 / $25.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $23.44 / $40.74
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $23.44 / $56.23
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $19.05 / $38.90
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $23.44 / $141.25
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $38.02 / $56.23
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $27.54 / $38.02
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $27.54 / $42.66
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $21.88 / $40.74
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $30.20 / $33.11