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Nevada 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 $21–$210%50%100%$21Professionalmedian $19 · 10th–90th $15–$350%20%40%10th90th$19$0.5$2.0$10.0$50.0$200.0$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $19.05 / $33.11
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $19.05 / $37.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $21.38 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $21.88 / $63.10
Hometown Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.30 / $0.30 / $5.37
Hometown Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.30 / $0.30 / $0.30
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $22.39 / $30.90
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $21.38 / $21.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $34.67 / $58.88