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Washington, DC rates for HCPCS 97155

Adaptive behavior treatment with protocol modification, administered by physician or other qualified health care professional, which may include simultaneous direction of technician, face-to-face with one patient, each 15 minutes

Facilitymedian $17 · 10th–90th $17–$190%20%40%90th$17Professionalmedian $19 · 10th–90th $17–$1410%20%40%10th90th$19$20.0$50.0$100.0$200.0$500.0

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
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $19.05 / $141.25
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $32.36 / $37.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $31.62 / $44.67
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $29.51 / $40.74
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $16.60 / $19.50
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $39.81 / $85.11