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Massachusetts 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 $18 · 10th–90th $15–$710%20%10th90th$18Professionalmedian $18 · 10th–90th $14–$590%20%10th90th$18$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
$18.20 / $18.20 / $18.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $15.14 / $436.52
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $154.88 / $154.88
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $40.74 / $173.78
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $20.42 / $70.79
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $18.62 / $40.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $16.22 / $50.12
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $16.22 / $60.26
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $16.22 / $18.20
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $23.44 / $42.66
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $147.91 / $363.08
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $154.88 / $154.88
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $40.74 / $173.78
Tufts
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $16.22 / $16.22
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $16.98 / $19.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $40.74 / $74.13