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Missouri 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 $19 · 10th–90th $15–$320%10%20%10th90th$19Professionalmedian $17 · 10th–90th $13–$310%10%20%10th90th$17$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
$12.88 / $15.85 / $25.12
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $17.78 / $17.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $24.55 / $36.31
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $26.30 / $37.15
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $50.12 / $64.57
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $20.42 / $39.81
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $19.05 / $32.36
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $23.99 / $141.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $26.30 / $26.30
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $21.38 / $36.31