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South Carolina 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 $44 · 10th–90th $23$1550%10%10th90th$44Professionalmedian $25 · 10th–90th $19$510%10%20%10th90th$25$1.0$5.0$20.0$100.0

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
$22.91 / $42.66 / $154.88
Aetna
Facility/Professional
Facility
Modifier
CO
Typical Low / Median / Typical High
$85.11 / $85.11 / $194.98
Aetna
Facility/Professional
Facility
Modifier
CQ
Typical Low / Median / Typical High
$309.03 / $309.03 / $309.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $25.12 / $54.95
Aetna
Facility/Professional
Professional
Modifier
CQ
Typical Low / Median / Typical High
$25.70 / $25.70 / $27.54
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $50.12 / $107.15
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $33.11 / $43.65
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $70.79 / $120.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $26.92 / $34.67
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $30.90 / $54.95
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $22.91
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $35.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $29.51 / $37.15