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New York 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 $41 · 10th–90th $17–$3310%10%10th90th$41Professionalmedian $19 · 10th–90th $13–$460%20%10th90th$19$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$16.60 / $41.69 / $331.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $15.85 / $34.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $22.39 / $36.31
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $33.11 / $33.11
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $33.11 / $33.11
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $36.31 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $29.51 / $72.44
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $21.38 / $87.10
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $30.20 / $44.67
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $21.38 / $21.38
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $28.18 / $47.86
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $33.88 / $81.28
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $21.88 / $24.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $32.36 / $85.11
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $24.55 / $24.55
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $25.12 / $47.86