go back

Missouri 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 $47 · 10th–90th $23$1290%5%10%10th90th$47Professionalmedian $30 · 10th–90th $17$1820%10%10th90th$30$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
$23.44 / $37.15 / $97.72
Aetna
Facility/Professional
Facility
Modifier
CO
Typical Low / Median / Typical High
$56.23 / $309.03 / $309.03
Aetna
Facility/Professional
Facility
Modifier
CQ
Typical Low / Median / Typical High
$48.98 / $54.95 / $309.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $30.20 / $281.84
Aetna
Facility/Professional
Professional
Modifier
CO
Typical Low / Median / Typical High
$26.30 / $26.30 / $26.30
Aetna
Facility/Professional
Professional
Modifier
CQ
Typical Low / Median / Typical High
$25.70 / $25.70 / $25.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $19.95 / $51.29
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $34.67 / $52.48
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $67.61 / $91.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $29.51 / $60.26
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $33.88 / $102.33
Medica
Facility/Professional
Facility
Modifier
CO
Typical Low / Median / Typical High
$61.66 / $128.82 / $128.82
Medica
Facility/Professional
Facility
Modifier
CQ
Typical Low / Median / Typical High
$61.66 / $128.82 / $128.82
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $32.36 / $208.93
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
$25.70 / $29.51 / $46.77