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Minnesota 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 $8–$460%20%10th90th$14Professionalmedian $7 · 10th–90th $6–$150%20%10th90th$7$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 / $14.13 / $173.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $14.13 / $18.20
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.76 / $8.13 / $69.18
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $7.08 / $7.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $37.15 / $60.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $13.49 / $16.98
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $37.15 / $77.62
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $10.72 / $16.98
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.47 / $14.13 / $18.20
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $10.00 / $40.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $7.59 / $16.60