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South Carolina 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

Facilitymedian $20 · 10th–90th $18–$310%20%40%10th90th$20Professionalmedian $19 · 10th–90th $17–$980%20%40%10th90th$19$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $19.05 / $97.72
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $24.55 / $26.92
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $22.91 / $34.67
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $19.95 / $30.90
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $30.20 / $30.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $38.02 / $53.70