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Nebraska 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
$21.42 / $21.42 / $21.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.81 / $16.16 / $21.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$289.76 / $340.89 / $406.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.89 / $33.04 / $45.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.55 / $36.94 / $49.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.95 / $21.42 / $45.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.85 / $22.44 / $138.46
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.50 / $37.86 / $52.02
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.50 / $37.86 / $58.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.85 / $22.44 / $51.83