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Maryland 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 $10 · 10th–90th $6–$140%20%10th90th$10Professionalmedian $14 · 10th–90th $6–$180%50%10th90th$14$2.0$10.0$50.0$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 / $14.13 / $14.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $14.13 / $18.20
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $24.55 / $29.51
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $10.72 / $17.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $4.57 / $15.85
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.37 / $7.24 / $14.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $5.01 / $10.00