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Oregon 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 $21 · 10th–90th $13–$210%50%10th$21Professionalmedian $15 · 10th–90th $13–$190%50%10th90th$15$10.0$20.0$50.0$100.0$200.0

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
$12.88 / $12.88 / $12.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $15.14 / $18.20
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52.48 / $52.48 / $52.48
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $38.90 / $72.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $63.10 / $81.28
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $15.14 / $28.84
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $14.45 / $18.20
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $20.89 / $20.89
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $15.14 / $30.20
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $79.43 / $79.43
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $15.49
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $58.88 / $89.13