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New York 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
$23.66 / $230.00 / $363.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $20.97 / $420.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.38 / $16.98 / $28.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.28 / $37.28 / $37.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $27.78 / $57.00
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $48.43
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.26 / $30.94 / $39.78
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.25 / $30.94 / $60.95
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.63 / $25.63 / $25.63
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.28 / $37.28 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.00 / $25.00 / $40.44
Optum
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.32 / $21.35 / $21.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.68 / $41.54 / $92.40
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.94 / $39.78 / $39.78
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.25 / $35.24 / $84.10