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West Virginia rates for HCPCS 97530

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

Facilitymedian $138 · 10th–90th $50$2750%20%10th90th$138Professionalmedian $47 · 10th–90th $21$910%10%10th90th$47$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $190.55 / $245.47
Aetna
Facility/Professional
Facility
Modifier
CO
Typical Low / Median / Typical High
$173.78 / $331.13 / $354.81
Aetna
Facility/Professional
Facility
Modifier
CQ
Typical Low / Median / Typical High
$77.62 / $97.72 / $239.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $37.15 / $91.20
Aetna
Facility/Professional
Professional
Modifier
CO
Typical Low / Median / Typical High
$125.89 / $125.89 / $125.89
Aetna
Facility/Professional
Professional
Modifier
CQ
Typical Low / Median / Typical High
$29.51 / $54.95 / $79.43
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $41.69 / $54.95
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $36.31 / $75.86
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $56.23 / $100.00
Cigna
Facility/Professional
Facility
Modifier
CO
Typical Low / Median / Typical High
$47.86 / $47.86 / $47.86
Cigna
Facility/Professional
Facility
Modifier
CQ
Typical Low / Median / Typical High
$47.86 / $47.86 / $47.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $44.67 / $165.96
Highmark BCBS
Facility/Professional
Facility
Modifier
CO
Typical Low / Median / Typical High
$112.20 / $112.20 / $123.03
Highmark BCBS
Facility/Professional
Facility
Modifier
CQ
Typical Low / Median / Typical High
$83.18 / $112.20 / $158.49
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $28.18 / $39.81
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $33.11 / $58.88