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Maine 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
$24.15 / $24.15 / $24.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.79 / $16.14 / $24.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.64 / $23.95 / $32.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.87 / $28.09 / $49.12
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.78 / $26.38 / $41.05
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.06 / $16.26 / $24.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.73 / $32.40 / $39.79