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Indiana 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
$15.44 / $15.44 / $15.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.75 / $15.24 / $18.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.22 / $21.47 / $28.92
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.07 / $22.18 / $28.22
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.16 / $23.09 / $28.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.00 / $65.00 / $110.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.23 / $24.44 / $36.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.78 / $22.54 / $27.95