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Arizona 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 $25 · 10th–90th $15–$600%10%10th90th$25Professionalmedian $19 · 10th–90th $17–$330%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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $165.96 / $165.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $19.05 / $28.18
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $19.05 / $23.44
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $24.55 / $26.92
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $22.91 / $32.36
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51.29 / $51.29 / $51.29
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $27.54 / $53.70
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $22.39 / $33.88
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $44.67 / $186.21
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $41.69 / $57.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $35.48 / $64.57