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Arizona rates for HCPCS 97153

Adaptive behavior treatment by protocol, administered by technician under the direction of a physician or other qualified health care professional, face-to-face with one patient, each 15 minutes

Facilitymedian $26 · 10th–90th $14–$780%10%10th90th$26Professionalmedian $15 · 10th–90th $13–$1070%20%40%10th90th$15$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

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
$25.70 / $165.96 / $165.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $15.14 / $107.15
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $22.91 / $26.92
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $23.99 / $26.92
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $22.91 / $32.36
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52.48 / $52.48 / $52.48
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $17.78 / $51.29
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $19.50 / $42.66
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $43.65 / $177.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $44.67 / $60.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $34.67 / $61.66