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Alaska 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)

Facilitymedian $19 · 10th–90th $13–$450%10%20%10th90th$19Professionalmedian $17 · 10th–90th $13–$460%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
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $79.43 / $165.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $15.14 / $20.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $22.39 / $31.62
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $19.05 / $41.69
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $52.48 / $81.28
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $35.48 / $77.62
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $18.62 / $41.69
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $52.48 / $79.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $37.15 / $97.72