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Virginia 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
$15.16 / $15.16 / $48.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.94 / $15.16 / $20.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.98 / $15.33 / $21.47
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.50 / $20.56 / $35.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.81 / $72.00 / $72.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.45 / $20.12 / $56.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.67 / $20.30 / $26.86
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.25 / $16.48 / $27.48
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.96 / $37.77 / $50.04
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.67 / $30.81 / $48.27
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.67 / $31.03 / $49.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.51 / $23.28 / $37.21