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Missouri 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 $11–$280%20%10th90th$14Professionalmedian $14 · 10th–90th $4–$180%20%40%10th90th$14$2.0$5.0$10.0$20.0$50.0$100.0

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 / $18.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $4.57 / $9.33
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $3.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $11.22 / $15.49
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $14.45 / $27.54
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $6.76 / $40.74
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $11.48 / $25.70
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $5.75 / $10.00