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Louisiana 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 $13 · 10th–90th $12–$490%50%10th90th$13Professionalmedian $14 · 10th–90th $7–$180%20%40%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
$12.88 / $12.88 / $354.81
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
$3.55 / $3.55 / $3.55
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $5.50 / $5.50
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $40.74 / $40.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $10.00 / $14.13
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
$3.80 / $4.79 / $9.12