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Texas 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
$10.28 / $13.05 / $108.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.44 / $15.25 / $20.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.45 / $37.72 / $86.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.56 / $18.43 / $18.43
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.34 / $57.15 / $57.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.00 / $65.00 / $70.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.49 / $16.30 / $41.25
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $85.43 / $105.40
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.29 / $138.46 / $170.48
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.44 / $15.64 / $23.92
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.77 / $26.91 / $49.50
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.18 / $25.08 / $48.08
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.44 / $15.64 / $24.15
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.75 / $21.79 / $55.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.98 / $19.94 / $31.69
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.67 / $20.83 / $28.57