go back

New Jersey 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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $20.89 / $263.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $14.13 / $18.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $12.88 / $18.62
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $6.92 / $6.92
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $91.20 / $151.36
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $4.27 / $9.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.23 / $12.59 / $16.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.24 / $4.79 / $9.12