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Michigan 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 $19–$370%20%40%90th$19Professionalmedian $19 · 10th–90th $17–$370%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 / $19.05 / $19.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $19.05 / $30.90
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $18.62 / $19.50
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $26.92 / $37.15
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $37.15 / $39.81
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $22.39 / $26.92
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $22.39 / $28.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $23.99 / $43.65
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $57.54
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $19.05 / $33.11
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $22.91 / $29.51
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $19.05 / $104.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $39.81 / $52.48