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Hawaii 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

Professionalmedian $19 · 10th–90th $17–$250%50%10th90th$19$20.0$50.0$100.0$200.0$500.0$1.0K$2.0K

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
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $19.05 / $23.99
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $22.91 / $30.90
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $37.15 / $43.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $33.88 / $45.71