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Wisconsin 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 $21 · 10th–90th $15–$430%10%20%10th90th$21Professionalmedian $19 · 10th–90th $14–$510%10%10th90th$19$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
$16.98 / $16.98 / $85.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $16.98 / $22.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $24.55 / $66.07
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $25.70 / $39.81
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $29.51 / $50.12
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $69.18 / $83.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $23.99 / $66.07
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $19.50 / $28.18
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $42.66 / $61.66
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $19.95 / $29.51
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $25.70 / $141.25
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $70.79
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $23.44 / $61.66
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $35.48 / $61.66
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52.48 / $52.48 / $141.25
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $117.49 / $141.25
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $28.84 / $28.84
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $48.98 / $63.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $23.99 / $57.54