go back

Wisconsin 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 $21 · 10th–90th $19$550%20%40%10th90th$21Professionalmedian $24 · 10th–90th $18$2090%20%10th90th$24$20.0$50.0$100.0$200.0$500.0$1.0K

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
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $19.05
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $19.05 / $363.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $32.36 / $102.33
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $22.39 / $37.15
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $22.39 / $69.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$67.61 / $120.23 / $141.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $40.74 / $61.66
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $19.50 / $31.62
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $23.99 / $23.99
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $20.89 / $31.62
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $66.07 / $177.83
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $54.95 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $18.62 / $18.62
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $18.62 / $25.12
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $52.48 / $93.33
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $75.86 / $173.78
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $138.04 / $173.78
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $42.66 / $42.66
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $41.69 / $52.48
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $16.60 / $19.50
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $39.81 / $95.50