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Montana 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
Professional
Modifier
Low / Median / High Price
$16.98 / $19.05 / $141.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $28.84 / $28.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $26.30 / $29.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $25.12 / $40.74
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $229.09 / $245.47
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $229.09 / $245.47
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.78 / $19.50 / $30.90
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $53.70 / $79.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $56.23 / $66.07