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Minnesota 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 $19 · 10th–90th $15–$1350%20%10th90th$19Professionalmedian $19 · 10th–90th $14–$440%20%10th90th$19$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
$15.14 / $15.14 / $173.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $15.14 / $467.74
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $23.99 / $213.80
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $21.38 / $21.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83.18 / $109.65 / $181.97
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $39.81 / $47.86
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$81.28 / $109.65 / $229.09
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $31.62 / $51.29
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $15.85 / $34.67
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $66.07 / $177.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $43.65 / $107.15