go back

Ohio 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
$19.47 / $55.00 / $123.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.97 / $19.47 / $24.60
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $22.91 / $24.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $19.63 / $49.37
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.00 / $21.00 / $21.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.02 / $22.41 / $22.41
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.41 / $22.41 / $34.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.28 / $37.28 / $37.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $30.55 / $42.77
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.28 / $37.28 / $37.28
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.00 / $31.00 / $42.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $50.00 / $60.00
Optum
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.94 / $26.94 / $26.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.35 / $39.75 / $72.47