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Pennsylvania 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
$16.98 / $104.71 / $104.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $14.13 / $18.20
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.62 / $5.62 / $5.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $7.24 / $7.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.90 / $10.23 / $16.98
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.27 / $4.27 / $4.57
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.72 / $5.01 / $8.71
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $7.59 / $7.59
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $18.20 / $104.71
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $14.13 / $19.05
Optum
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $13.80 / $13.80
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $10.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $5.75 / $7.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $100.00 / $125.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.72 / $5.01 / $8.71