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Tennessee 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
$13.27 / $13.30 / $13.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.26 / $15.01 / $20.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.17 / $16.95 / $32.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.00 / $55.00 / $65.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.37 / $22.66 / $66.52
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.29 / $138.46 / $170.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.94 / $22.45 / $32.68