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Illinois 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 $95 · 10th–90th $29$2690%10%10th90th$95Professionalmedian $31 · 10th–90th $20$710%10%20%10th90th$31$10.0$20.0$50.0$100.0$200.0$500.0$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
$26.92 / $89.13 / $239.88
Aetna
Facility/Professional
Facility
Modifier
CO
Typical Low / Median / Typical High
$54.95 / $223.87 / $363.08
Aetna
Facility/Professional
Facility
Modifier
CQ
Typical Low / Median / Typical High
$70.79 / $100.00 / $398.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $25.70 / $79.43
Aetna
Facility/Professional
Professional
Modifier
CO
Typical Low / Median / Typical High
$20.89 / $66.07 / $70.79
Aetna
Facility/Professional
Professional
Modifier
CQ
Typical Low / Median / Typical High
$35.48 / $69.18 / $81.28
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $22.39 / $22.39
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $83.18 / $295.12
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $33.88 / $34.67
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $70.79 / $107.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $39.81 / $61.66
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $44.67 / $63.10
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $40.74 / $42.66
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $35.48 / $46.77
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $32.36 / $57.54