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Maine 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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $19.05 / $19.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $19.05 / $23.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $22.91 / $35.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $31.62 / $75.86
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $35.48 / $77.62
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $19.05 / $25.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $45.71 / $67.61