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Massachusetts 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 $20 · 10th–90th $18–$710%20%10th90th$20Professionalmedian $17 · 10th–90th $13–$450%20%10th90th$17$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
$18.20 / $18.20 / $18.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $14.13 / $19.05
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$190.55 / $190.55 / $190.55
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $72.44 / $218.78
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $20.42 / $70.79
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $19.05 / $41.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $16.22 / $81.28
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $16.22 / $67.61
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $14.79
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $23.44 / $43.65
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $131.83 / $131.83
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$190.55 / $190.55 / $190.55
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $72.44 / $218.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $30.90 / $36.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $44.67 / $87.10