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Pennsylvania 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
$21.64 / $41.58 / $270.83
Aetna
Facility/Professional
Facility
Modifier
CO
Low / Median / High Price
$85.62 / $196.35 / $4,812.29
Aetna
Facility/Professional
Facility
Modifier
CQ
Low / Median / High Price
$60.83 / $228.99 / $1,816.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.98 / $23.69 / $183.00
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.68 / $19.68 / $25.05
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $57,255.43 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.18 / $32.26 / $54.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.13 / $57.72 / $75.00
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
$25.46 / $60.00 / $111.17
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $92.55
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.86 / $80.73 / $138.44
Highmark BCBS
Facility/Professional
Facility
Modifier
CO
Low / Median / High Price
$9.25 / $46.60 / $53.49
Highmark BCBS
Facility/Professional
Facility
Modifier
CQ
Low / Median / High Price
$57.93 / $57.93 / $122.00
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.42 / $28.42 / $28.42
Independence Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.75 / $30.75 / $33.34
Independence Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.68 / $19.68 / $25.05
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.69 / $57.09 / $363.77
Martin's Point
Facility/Professional
Facility
Modifier
CO
Low / Median / High Price
$86.06 / $266.39 / $1,083.32
Martin's Point
Facility/Professional
Facility
Modifier
CQ
Low / Median / High Price
$103.18 / $228.99 / $1,578.53
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.28 / $27.37 / $182.52
Martin's Point
Facility/Professional
Professional
Modifier
CQ
Low / Median / High Price
$25.67 / $25.67 / $27.25
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $34.20 / $75.50
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.13 / $57.72 / $75.00
Priority Health
Facility/Professional
Facility
Modifier
CO
Low / Median / High Price
$31.05 / $31.05 / $31.05
Priority Health
Facility/Professional
Facility
Modifier
CQ
Low / Median / High Price
$31.05 / $31.05 / $31.05
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.20 / $61.95 / $113.01
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.29 / $32.00 / $32.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.29 / $32.00 / $33.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.82 / $33.84 / $52.45