go back

New York 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
$13.79 / $30.56 / $330.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.05 / $15.43 / $21.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.58 / $20.20 / $32.17
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.43 / $31.43 / $31.43
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.43 / $31.43 / $31.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.81 / $23.81 / $23.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $26.42 / $71.45
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $20.89 / $319.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.87 / $45.00 / $55.00
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.37 / $21.36 / $21.36
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.82 / $27.08 / $46.22
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.81 / $23.81 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.37 / $28.56 / $66.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.48 / $23.43 / $51.29
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.37 / $23.52 / $23.52
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.30 / $27.60 / $54.55