go back

New York 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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.96 / $102.80 / $363.00
Aetna
Facility/Professional
Facility
Modifier
CO
Low / Median / High Price
$77.78 / $77.78 / $77.78
Aetna
Facility/Professional
Facility
Modifier
CQ
Low / Median / High Price
$185.71 / $185.71 / $185.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.40 / $23.69 / $149.00
Aetna
Facility/Professional
Professional
Modifier
CO
Low / Median / High Price
$20.48 / $70.01 / $70.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$654.00 / $664.00 / $919.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.12 / $36.57 / $75.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.05 / $60.05 / $60.05
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.05 / $60.05 / $60.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.13 / $80.00 / $226.00
Cigna
Facility/Professional
Facility
Modifier
CO
Low / Median / High Price
$31.05 / $31.05 / $31.05
Cigna
Facility/Professional
Facility
Modifier
CQ
Low / Median / High Price
$31.05 / $31.05 / $31.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.57 / $68.58 / $114.34
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.00 / $56.70 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.52 / $45.00 / $85.00
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.06 / $38.49 / $38.83
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.90 / $32.13 / $68.00
Fidelis
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.85 / $29.17 / $29.17
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.08 / $85.58 / $120.24
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.34 / $27.34 / $27.34
Highmark BCBS
Facility/Professional
Professional
Modifier
CQ
Low / Median / High Price
$27.57 / $27.57 / $27.57
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.13 / $555.00 / $597.00
MVP Health Care
Facility/Professional
Facility
Modifier
CO
Low / Median / High Price
$31.05 / $31.05 / $31.05
MVP Health Care
Facility/Professional
Facility
Modifier
CQ
Low / Median / High Price
$31.05 / $31.05 / $31.05
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.06 / $60.15 / $111.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.62 / $32.65 / $61.55
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.06 / $36.06 / $92.16
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.90 / $36.06 / $83.63