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North Dakota 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 $12–$150%50%10th90th$14Professionalmedian $14 · 10th–90th $3–$140%20%40%10th$14$2.0$5.0$10.0$20.0

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
$3.98 / $14.13 / $15.14
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.88 / $3.39 / $4.47
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $13.49 / $13.49
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $14.13 / $16.98
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $9.77 / $40.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $7.76 / $10.00