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Idaho 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 $19 · 10th–90th $13–$290%20%10th90th$19Professionalmedian $19 · 10th–90th $15–$280%20%40%10th90th$19$10.0$20.0$50.0$100.0

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
$15.14 / $15.14 / $15.14
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $19.05 / $23.99
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $46.77 / $63.10
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $38.90 / $47.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $33.88 / $52.48
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $19.05 / $28.18
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $19.05 / $23.99
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$63.10 / $63.10 / $63.10
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $28.18 / $28.18
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $25.12 / $47.86
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $42.66 / $63.10