go back

Kansas 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 $18 · 10th–90th $15–$440%10%20%10th90th$18Professionalmedian $17 · 10th–90th $13–$300%10%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
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $15.85 / $20.89
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$47.86 / $50.12 / $50.12
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $29.51 / $34.67
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $21.38 / $34.67
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $17.38 / $23.99
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $36.31 / $138.04
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $23.44 / $38.02