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Ohio 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 $22 · 10th–90th $17–$620%50%10th90th$22Professionalmedian $20 · 10th–90th $17–$540%20%10th90th$20$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $61.66 / $61.66
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
$16.22 / $17.78 / $19.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $24.55 / $58.88
Aultcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $21.88
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $22.39 / $22.39
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $22.39 / $22.39
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $33.88 / $47.86
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51.29 / $51.29 / $51.29
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $33.88 / $47.86
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $50.12 / $60.26
Optum
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $30.90 / $30.90
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $60.26 / $75.86
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