97165 · West Virginia · every payer
What every payer pays for 97165 in West Virginia
Across 7 commercial payers in West Virginia, the middle payer's median for 97165 (occupational therapy evaluation, level 1 of 3) is $84.87 per session. West Virginia Medicaid's fee-for-service rate, $68.08 per session, is 20% below that commercial median.
- Commercial median
- $84.87per session
- West Virginia Medicaid
- $68.08
- Medicare
- $94.29
On this page
Payer mix
97165 in West Virginia, by payer type
Medicare's physician fee schedule pays $94.29 in West Virginia.
By payer
Each payer's 97165 rate in West Virginia
FAQ
Frequently asked questions
What do commercial payers pay for 97165 in West Virginia?
The median of 7 payers' medians is $84.87 per session, from 295 published rates in the October 2026 files.
How does West Virginia Medicaid compare with commercial insurance for 97165?
West Virginia Medicaid pays $68.08 per session, 20% below the commercial median.
What does Medicare pay for 97165 in West Virginia?
$94.29 on the RVU26B physician fee schedule (non-facility).
What does Cigna pay for 97165 in West Virginia?
Cigna's median is $80.15 per session, from 106 rates and 261 providers.
What does UnitedHealthcare pay for 97165 in West Virginia?
UnitedHealthcare's median is $80.14 per session, from 70 rates and 203 providers.