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Alabama rates for HCPCS 97156

Family adaptive behavior treatment guidance, administered by physician or other qualified health care professional (with or without the patient present), face-to-face with guardian(s)/caregiver(s), each 15 minutes

Facilitymedian $17 · 10th–90th $15–$200%20%40%10th90th$17Professionalmedian $19 · 10th–90th $15–$850%20%40%10th90th$19$10.0$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $20.42 / $20.42
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $19.05 / $93.33
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $19.05 / $25.12
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $16.60 / $22.91
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $19.95 / $28.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $17.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $35.48 / $56.23