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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $19.05 / $19.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $19.05 / $263.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $32.36 / $102.33
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $22.39 / $63.10
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $22.39 / $69.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $120.23 / $141.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $39.81 / $61.66
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.78 / $19.50 / $31.62
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $23.99 / $23.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.62 / $20.42 / $33.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $67.61 / $177.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $54.95 / $85.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $52.48 / $93.33
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $75.86 / $173.78
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $138.04 / $173.78
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $42.66 / $42.66
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $41.69 / $52.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.60 / $16.60 / $19.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $53.70 / $120.23