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Tennessee 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 $11–$1510%20%40%10th90th$15Professionalmedian $15 · 10th–90th $11–$1150%50%10th90th$15$0.5$2.0$10.0$50.0$200.0$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
$10.96 / $10.96 / $151.36
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $15.14 / $107.15
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $22.91 / $24.55
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $36.31 / $66.07
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $16.22 / $48.98
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$154.88 / $154.88 / $154.88
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $281.84 / $281.84
Optum
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $16.60 / $16.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $42.66 / $60.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $39.81 / $63.10