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Nebraska 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 $16–$330%20%40%10th90th$19Professionalmedian $19 · 10th–90th $17–$390%50%10th90th$19$10.0$20.0$50.0$100.0$200.0$500.0

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 / $19.05
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $19.05 / $23.99
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $17.38 / $19.05
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$104.71 / $109.65 / $147.91
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $48.98 / $67.61
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $33.88 / $51.29
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $20.89 / $33.11
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $69.18 / $186.21
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $51.29 / $85.11
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $77.62 / $77.62
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 / $60.26 / $83.18