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Iowa rates for HCPCS 97152

Behavior identification-supporting assessment, administered by one technician under the direction of a physician or other qualified health care professional, face-to-face with the patient, each 15 minutes

Facilitymedian $22 · 10th–90th $14–$490%20%10th90th$22Professionalmedian $14 · 10th–90th $14–$590%50%90th$14$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
$39.81 / $39.81 / $48.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $28.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $61.66 / $81.28
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $51.29 / $60.26
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $14.45 / $52.48
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $75.86 / $223.87
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $52.48 / $61.66
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $41.69 / $60.26
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $45.71 / $45.71
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $25.12 / $30.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $66.07 / $112.20
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $38.02 / $38.02