CPT 97112: Neuromuscular Reeducation
Medicare pays $34 and commercial payers pay $64 on average nationally for this procedure.
CPT code 97112 describes neuromuscular reeducation, a therapeutic exercise intervention aimed at reducing impairments and restoring function by improving communication between the brain and muscles and enhancing proprioceptive feedback; the service is a hands-on therapeutic procedure delivered by qualified rehabilitation clinicians and is typically provided in outpatient physical therapy or rehabilitation clinic settings during focused treatment sessions.
For related coverage guidance, see recent payer policy updates: Lumbar Microdiscectomy, Artificial Cervical Intervertebral Disc, Lumbar Decompression.
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National Reimbursement Benchmarks
Commercial averages sit well above Medicare for CPT 97112: BUCA’s mean is $64 while Medicare’s mean is $34, so typical commercial reimbursement is roughly $30 higher than Medicare on average. Blue Cross Blue Shield, Aetna, and Cigna cluster above Medicare as well, with UnitedHealth Group closer to Medicare but still higher by about $8.5 on average.
Dispersion varies notably across payers. Blue Cross Blue Shield has one of the tightest interquartile spreads at $29.2 (P75 $85.1 minus P25 $55.9), while UnitedHealth Group shows a relatively narrow IQR of $13.4 (P75 $44.1 minus P25 $30.7). Aetna displays the widest spread at $52.4 (P75 $80.9 minus P25 $28.5), indicating the largest middle-range variability among the listed commercial payers.