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Maryland rates for HCPCS 97530

Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes

Facilitymedian $145 · 10th–90th $43–$5250%5%10%10th90th$145Professionalmedian $42 · 10th–90th $23–$1780%5%10th90th$42$10.0$50.0$200.0$1.0K

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $97.72 / $707.95
Aetna
Facility/Professional
Facility
Modifier
CO
Typical Low / Median / Typical High
$138.04 / $138.04 / $316.23
Aetna
Facility/Professional
Facility
Modifier
CQ
Typical Low / Median / Typical High
$79.43 / $181.97 / $489.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $40.74 / $181.97
Aetna
Facility/Professional
Professional
Modifier
CO
Typical Low / Median / Typical High
$40.74 / $54.95 / $457.09
Aetna
Facility/Professional
Professional
Modifier
CQ
Typical Low / Median / Typical High
$30.90 / $61.66 / $194.98
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $29.51 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$72.44 / $72.44 / $181.97
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $32.36 / $54.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $38.02 / $52.48
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $17.38 / $17.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $39.81 / $48.98
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $47.86 / $57.54