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Kansas 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 $9–$170%20%40%10th90th$14Professionalmedian $14 · 10th–90th $11–$250%20%40%10th90th$14$2.0$5.0$10.0$20.0$50.0

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
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $14.13 / $16.98
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $24.55 / $28.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $14.13 / $15.85
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.90 / $14.13 / $17.78
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $7.76 / $40.74
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $10.47 / $12.30
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $6.31 / $10.72