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New Mexico 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 $15 · 10th–90th $13–$290%50%10th90th$15Professionalmedian $15 · 10th–90th $12–$190%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
$12.02 / $15.14 / $18.20
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $22.39 / $26.92
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $11.75 / $15.85
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $14.45 / $39.81
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $50.12 / $70.79
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $15.14 / $28.84
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $15.14 / $60.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $14.13 / $44.67
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $48.98 / $70.79