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Pennsylvania 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
$32.09 / $99.23 / $611.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $19.57 / $24.60
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $22.96 / $38.25
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.30 / $24.30 / $24.30
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 / $26.00 / $40.44
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.70 / $23.70 / $23.70
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.86 / $22.47 / $23.70
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.09 / $99.23 / $611.66
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.73 / $19.64 / $24.68
Optum
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.35 / $21.35 / $21.35
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.20 / $16.20 / $19.37
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.28 / $37.28 / $37.28
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $25.56 / $40.44
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $35.00 / $35.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.66 / $35.69 / $59.03