go back

West 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
$20.95 / $20.95 / $21.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.75 / $14.70 / $20.95
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.14 / $22.15 / $30.42
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.14 / $25.65 / $46.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.81 / $23.81 / $23.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.34 / $28.20 / $99.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.55 / $26.94 / $39.22