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Nebraska 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 $22 · 10th–90th $16–$420%10%20%10th90th$22Professionalmedian $18 · 10th–90th $14–$390%10%10th90th$18$10.0$20.0$50.0$100.0$200.0$500.0

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
$21.88 / $21.88 / $21.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $16.98 / $23.99
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53.70 / $302.00 / $407.38
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $33.88 / $46.77
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $33.11 / $50.12
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $22.39 / $40.74
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $23.44 / $141.25
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $38.90 / $47.86
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $50.12 / $51.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $21.38 / $53.70