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West Virginia 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 $52 · 10th–90th $30$2690%10%20%10th90th$52Professionalmedian $25 · 10th–90th $17$560%10%10th90th$25$10.0$20.0$50.0$100.0$200.0

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
$30.20 / $33.11 / $75.86
Aetna
Facility/Professional
Facility
Modifier
CQ
Typical Low / Median / Typical High
$169.82 / $169.82 / $269.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $25.12 / $54.95
Aetna
Facility/Professional
Professional
Modifier
CQ
Typical Low / Median / Typical High
$39.81 / $39.81 / $39.81
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $38.02 / $51.29
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $33.88 / $70.79
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52.48 / $52.48 / $100.00
Cigna
Facility/Professional
Facility
Modifier
CO
Typical Low / Median / Typical High
$44.67 / $44.67 / $44.67
Cigna
Facility/Professional
Facility
Modifier
CQ
Typical Low / Median / Typical High
$44.67 / $44.67 / $44.67
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $41.69 / $154.88
Highmark BCBS
Facility/Professional
Facility
Modifier
CO
Typical Low / Median / Typical High
$22.91 / $22.91 / $194.98
Highmark BCBS
Facility/Professional
Facility
Modifier
CQ
Typical Low / Median / Typical High
$123.03 / $123.03 / $144.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $36.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $32.36 / $47.86