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New Jersey 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 $102 · 10th–90th $30–$3310%5%10th90th$102Professionalmedian $26 · 10th–90th $19–$590%10%20%10th90th$26$20.0$100.0$500.0$2.0K$10.0K

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
$30.20 / $100.00 / $288.40
Aetna
Facility/Professional
Facility
Modifier
CO
Typical Low / Median / Typical High
$31.62 / $31.62 / $31.62
Aetna
Facility/Professional
Facility
Modifier
CQ
Typical Low / Median / Typical High
$177.83 / $194.98 / $398.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $23.99 / $57.54
Aetna
Facility/Professional
Professional
Modifier
CO
Typical Low / Median / Typical High
$27.54 / $70.79 / $70.79
Aetna
Facility/Professional
Professional
Modifier
CQ
Typical Low / Median / Typical High
$20.42 / $26.92 / $54.95
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $15.85 / $66.07
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $37.15 / $74.13
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $44.67 / $53.70
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $30.20 / $40.74
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $28.84 / $32.36
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $36.31 / $67.61