go back

South Dakota 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 $4 · 10th–90th $3–$150%20%10th90th$4Professionalmedian $14 · 10th–90th $3–$890%20%40%10th90th$14$2.0$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $14.13 / $89.13
Avera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $12.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $13.49 / $14.13
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.24 / $14.13 / $23.44
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $10.00 / $40.74
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $6.76 / $6.76
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $11.48 / $11.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $8.51 / $12.02
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $18.20 / $18.20