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South 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
Professional
Modifier
Low / Median / High Price
$13.26 / $16.25 / $20.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.22 / $27.00 / $41.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.43 / $19.34 / $61.71
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.47 / $19.05 / $29.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.29 / $26.29 / $26.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.52 / $21.14 / $26.42