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Wisconsin rates for HCPCS 97530

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

Facilitymedian $135 · 10th–90th $35$4270%5%10th90th$135Professionalmedian $54 · 10th–90th $25$1780%5%10%10th90th$54$5.0$10.0$20.0$50.0$100.0$200.0$500.0

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
$33.88 / $123.03 / $616.60
Aetna
Facility/Professional
Facility
Modifier
CO
Typical Low / Median / Typical High
$107.15 / $173.78 / $173.78
Aetna
Facility/Professional
Facility
Modifier
CQ
Typical Low / Median / Typical High
$141.25 / $281.84 / $426.58
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $40.74 / $199.53
Aetna
Facility/Professional
Professional
Modifier
CO
Typical Low / Median / Typical High
$54.95 / $54.95 / $54.95
Aetna
Facility/Professional
Professional
Modifier
CQ
Typical Low / Median / Typical High
$30.90 / $58.88 / $288.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $32.36 / $102.33
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $33.11 / $44.67
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $33.11 / $33.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $100.00 / $131.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $50.12 / $109.65
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $35.48 / $75.86
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $67.61 / $100.00
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $91.20 / $190.55
Medica
Facility/Professional
Facility
Modifier
CO
Typical Low / Median / Typical High
$66.07 / $138.04 / $138.04
Medica
Facility/Professional
Facility
Modifier
CQ
Typical Low / Median / Typical High
$66.07 / $138.04 / $138.04
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $43.65 / $125.89
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $70.79
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $48.98 / $83.18
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $75.86 / $114.82
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $83.18 / $234.42
Quartz
Facility/Professional
Facility
Modifier
CO
Typical Low / Median / Typical High
$70.79 / $199.53 / $199.53
Quartz
Facility/Professional
Facility
Modifier
CQ
Typical Low / Median / Typical High
$70.79 / $199.53 / $199.53
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $194.98 / $288.40
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $46.77 / $46.77
Security Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $48.98 / $48.98
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $89.13 / $102.33
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $38.90 / $38.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $70.79 / $112.20