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Indiana 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 $4 · 10th–90th $4–$140%20%40%90th$4Professionalmedian $14 · 10th–90th $5–$170%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
$10.96 / $14.13 / $151.36
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $14.13 / $16.98
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $3.55 / $3.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $7.94 / $12.02
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.89 / $3.89 / $8.51
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $5.50 / $8.51
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $10.23 / $16.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $5.25 / $9.33