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New York 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 $263 · 10th–90th $24–$1,9950%10%10th90th$263Professionalmedian $19 · 10th–90th $15–$410%20%40%10th90th$19$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$25.70 / $302.00 / $1,995.26
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $19.05 / $25.12
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $19.05 / $25.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $16.98 / $23.99
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51.29 / $51.29 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $28.84 / $165.96
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $44.67 / $44.67
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $22.39
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $33.11
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $43.65 / $72.44
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $10.23 / $10.23
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $19.95 / $19.95
Optum
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $19.50 / $19.50
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $23.99 / $112.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $44.67 / $79.43
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $20.42 / $41.69
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $36.31 / $72.44