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Massachusetts 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
$17.37 / $17.37 / $17.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.05 / $15.47 / $20.66
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $105.40
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.54 / $42.36 / $138.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.11 / $215.75 / $226.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.14 / $31.12 / $54.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.00 / $95.00 / $95.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.82 / $30.53 / $73.20
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.56 / $27.56 / $27.56
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.72 / $23.43 / $40.92
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.28 / $45.82 / $62.98
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $105.40
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.80 / $45.24 / $138.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.45 / $25.17 / $48.88