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Georgia rates for HCPCS 97535

Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes

Facilitymedian $117 · 10th–90th $24$4170%10%10th90th$117Professionalmedian $28 · 10th–90th $20$600%20%10th90th$28$1.0$5.0$20.0$100.0$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
$23.44 / $95.50 / $457.09
Aetna
Facility/Professional
Facility
Modifier
CO
Typical Low / Median / Typical High
$77.62 / $398.11 / $398.11
Aetna
Facility/Professional
Facility
Modifier
CQ
Typical Low / Median / Typical High
$40.74 / $40.74 / $100.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $25.70 / $60.26
Aetna
Facility/Professional
Professional
Modifier
CO
Typical Low / Median / Typical High
$27.54 / $27.54 / $27.54
Aetna
Facility/Professional
Professional
Modifier
CQ
Typical Low / Median / Typical High
$20.42 / $26.92 / $81.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $30.90 / $56.23
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $43.65 / $52.48
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $35.48 / $70.79
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $70.79 / $79.43
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $34.67 / $56.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $38.02 / $54.95
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $42.66 / $42.66
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $46.77
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $33.88 / $50.12