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Maryland 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 $24 · 10th–90th $16–$500%20%10th90th$24Professionalmedian $17 · 10th–90th $13–$260%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
$15.85 / $15.85 / $67.61
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $15.85 / $23.99
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $21.38 / $25.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $19.95 / $39.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $20.89 / $26.92
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
$18.20 / $25.70 / $31.62
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $22.91 / $33.88