go back

New Mexico 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 $5–$180%50%10th90th$14Professionalmedian $14 · 10th–90th $8–$180%50%10th90th$14$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
$15.14 / $15.14 / $15.14
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $14.13 / $18.20
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $3.55 / $3.55
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $6.76 / $8.91
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $10.72 / $15.49
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $60.26 / $85.11
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.37 / $14.13 / $19.05
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $14.13 / $60.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.31 / $10.47 / $12.30
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $7.24 / $10.96