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Delaware 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 $45 · 10th–90th $14–$650%10%20%10th90th$45Professionalmedian $15 · 10th–90th $13–$190%50%10th90th$15$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
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $15.14 / $18.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $25.12 / $33.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $44.67 / $64.57
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $31.62 / $60.26