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Florida 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 $19 · 10th–90th $19–$2880%50%90th$19Professionalmedian $19 · 10th–90th $17–$440%50%10th90th$19$0.5$2.0$10.0$50.0$200.0$1.0K

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
$19.05 / $19.05 / $288.40
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $19.05 / $25.70
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $22.91 / $24.55
AvMed
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $30.90 / $34.67
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52.48 / $52.48 / $52.48
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $23.99 / $43.65
Florida Blue
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $23.99 / $33.88
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $19.05 / $52.48
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $18.20 / $21.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $38.02 / $56.23
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $21.38 / $33.88