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Utah 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 $11 · 10th–90th $11–$140%50%90th$11Professionalmedian $15 · 10th–90th $11–$6460%20%40%10th90th$15$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $10.96 / $10.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $15.14 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $14.13 / $22.91
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $30.20 / $44.67
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $15.49 / $35.48
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $20.42 / $20.89
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $17.78 / $23.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $14.13 / $16.60
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $33.11 / $52.48