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Virginia 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 $17 · 10th–90th $14–$620%20%10th90th$17Professionalmedian $14 · 10th–90th $13–$320%50%10th90th$14$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
$14.13 / $14.13 / $14.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $14.13 / $18.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $23.44 / $33.11
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $32.36 / $38.90
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66.07 / $66.07 / $66.07
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $16.98 / $66.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $39.81 / $50.12
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $15.49 / $34.67
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $19.95
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $50.12 / $83,176.38
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $50.12 / $83,176.38
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
$31.62 / $48.98 / $85.11