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Unlisted Therapy Treatment

Hawaii rates for HCPCS 97139

Covers a therapy treatment that does not match any of the standard named services. The therapist submits a written description of exactly what was done, and the insurer reviews the claim individually rather than processing it automatically.

Rates data updated July 2026.

Facilitymedian $20 · 10th–90th $20$200%50%100%$20Professionalmedian $16 · 10th–90th $14$1200%20%10th90th$16$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$19.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$15.14
Typical High
$63.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$19.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$12.88
Typical High
$19.50
United
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$6.61
Typical High
$7.76
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$19.50
Typical High
$257.04