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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
$18.62 / $33.11 / $53.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $15.85 / $23.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $31.62 / $33.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $14.45 / $23.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $35.48 / $35.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $19.50 / $43.65
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $18.62 / $25.70
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $19.50 / $19.50
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $33.88 / $41.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $22.91 / $37.15
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $134.90 / $134.90
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $169.82 / $169.82