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New York 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
$18.20 / $234.42 / $389.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $14.13 / $19.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $12.30 / $13.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $7.24 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $14.13 / $21.88
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $44.67 / $44.67
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $6.92 / $51.29
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.31 / $3.31 / $4.27
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $5.75 / $10.96
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $12.88 / $12.88
Optum
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $13.80 / $13.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $91.20 / $93.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $5.62 / $14.13
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.31 / $3.47 / $5.50
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $5.50 / $10.96