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New Mexico 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 $15–$280%20%10th90th$19Professionalmedian $19 · 10th–90th $16–$240%50%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
$19.95 / $19.95 / $19.95
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
$17.78 / $17.78 / $17.78
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $17.78 / $23.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $22.91 / $39.81
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $60.26 / $85.11
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $19.50 / $28.18
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $23.44 / $60.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $17.38 / $46.77
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $51.29 / $72.44