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Nationwide rates for HCPCS 97130

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; each additional 15 minutes (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $28.18 / $141.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $15.85 / $23.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $33.11 / $33.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $21.38 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $54.95 / $77.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $22.39 / $48.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.42 / $23.44 / $38.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $22.39 / $38.02