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Maine 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 $93 · 10th–90th $43–$3470%10%10th90th$93Professionalmedian $28 · 10th–90th $19–$630%10%20%10th90th$28$20.0$100.0$500.0$2.0K

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
$42.66 / $81.28 / $346.74
Aetna
Facility/Professional
Facility
Modifier
CQ
Typical Low / Median / Typical High
$138.04 / $138.04 / $141.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $25.12 / $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 / $35.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $35.48 / $61.66
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $26.92 / $26.92
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $38.02 / $75.86
Community Health Options
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95.50 / $95.50 / $95.50
Community Health Options
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $37.15 / $53.70
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $46.77 / $67.61
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $38.90 / $4,677.35
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $28.84 / $63.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $45.71 / $72.44