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Maryland 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 $30 · 10th–90th $14–$550%20%10th90th$30Professionalmedian $15 · 10th–90th $13–$250%50%10th90th$15$10.0$20.0$50.0$100.0$200.0$500.0

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
$12.88 / $15.14 / $19.05
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $24.55 / $29.51
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $23.99 / $42.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $30.90 / $39.81
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $43.65 / $60.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $33.88 / $60.26