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Kentucky 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 $22 · 10th–90th $19–$230%50%10th90th$22Professionalmedian $19 · 10th–90th $15–$250%20%40%10th90th$19$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
$19.05 / $20.42 / $20.42
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $19.05 / $23.99
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $17.78 / $23.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $21.38 / $25.12
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $22.39 / $22.39
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $22.39 / $25.12
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 / $165.96 / $165.96
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $18.20 / $44.67
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $37.15 / $69.18