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Oregon 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 $19 · 10th–90th $12–$190%50%10th$19Professionalmedian $14 · 10th–90th $11–$180%50%10th90th$14$2.0$5.0$10.0$20.0$50.0

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
$12.88 / $12.88 / $12.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $14.13 / $18.20
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.24 / $7.24 / $7.24
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $7.76 / $15.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $8.51 / $11.22
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.75 / $14.13 / $19.05
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $14.13 / $18.20
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $19.50 / $19.50
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $16.98 / $16.98
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.25 / $14.13 / $19.05
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $70.79 / $79.43
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $14.45 / $14.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $9.77 / $12.88