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North Carolina 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 $21 · 10th–90th $18–$300%20%10th90th$21Professionalmedian $24 · 10th–90th $19–$600%20%10th90th$24$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

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
$19.95 / $19.95 / $144.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $19.05 / $33.11
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $18.20 / $23.99
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $25.70 / $60.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $24.55 / $57.54
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $20.89 / $28.18
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $25.12 / $25.12
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $17.38 / $17.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $17.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $38.90 / $72.44
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$120.23 / $120.23 / $120.23
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $158.49 / $275.42