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Delaware 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 $42 · 10th–90th $20–$580%20%10th90th$42Professionalmedian $19 · 10th–90th $18–$250%50%10th90th$19$10.0$20.0$50.0$100.0$200.0

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
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $19.05 / $23.99
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $27.54 / $36.31
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $41.69 / $57.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $33.11 / $75.86