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Nationwide rates for HCPCS 97154

Group adaptive behavior treatment by protocol, administered by technician under the direction of a physician or other qualified health care professional, face-to-face with two or more patients, each 15 minutes

Facilitymedian $14 · 10th–90th $5$240%20%10th90th$14Professionalmedian $14 · 10th–90th $5$180%50%10th90th$14$0.1$0.5$5.0$50.0$500.0$5.0K$50.0K

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
$8.32 / $14.79 / $234.42
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $14.13 / $18.20
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.22 / $12.02 / $12.02
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $8.91 / $13.80
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.24 / $7.24 / $45.71
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $12.02 / $18.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.75 / $10.47 / $15.85
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $6.17 / $12.59