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North Carolina 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
$18.42 / $51.69 / $126.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $15.61 / $20.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.86 / $30.52 / $32.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.16 / $16.18 / $35.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.81 / $23.81 / $23.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.04 / $20.32 / $85.75
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.61 / $19.23 / $27.48
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.11 / $24.04 / $30.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.88 / $31.33 / $34.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.94 / $22.90 / $46.13
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $105.40
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.29 / $138.46 / $170.48