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Utah 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
$15.85 / $15.85 / $15.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $19.05 / $97.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $22.91 / $38.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $44.67 / $60.26
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $28.18 / $33.11
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $30.90 / $33.11
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $31.62 / $44.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $37.15 / $54.95