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Arizona 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 $11 · 10th–90th $4–$260%10%10th90th$11Professionalmedian $14 · 10th–90th $5–$180%50%10th90th$14$2.0$5.0$10.0$20.0$50.0$100.0

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
$3.02 / $165.96 / $165.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $14.13 / $18.20
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $3.24 / $3.55
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $10.72 / $12.02
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $16.98 / $23.99
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.24 / $7.24 / $7.24
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $14.13 / $17.78
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.72 / $11.75 / $18.20
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $6.17 / $40.74
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.50 / $7.24 / $15.85
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $5.62 / $10.00