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New Mexico 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 $15 · 10th–90th $14–$350%50%10th90th$15Professionalmedian $14 · 10th–90th $11–$220%50%10th90th$14$10.0$20.0$50.0$100.0

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
$15.14 / $15.14 / $15.14
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $14.13 / $18.20
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $16.22 / $21.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $14.45 / $77.62
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $60.26 / $85.11
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $14.79 / $35.48
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $14.45 / $60.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $25.12 / $54.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $60.26 / $87.10