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Connecticut 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 $138 · 10th–90th $14–$4170%20%10th90th$138Professionalmedian $14 · 10th–90th $11–$180%50%10th90th$14$2.0$5.0$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
$14.13 / $138.04 / $416.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $14.13 / $18.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $10.47 / $23.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $12.02 / $15.85
ConnectiCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $6.92 / $6.92
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $6.92 / $14.13