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Pennsylvania 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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.09 / $60.89 / $289.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $19.57 / $24.60
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.46 / $23.87 / $36.25
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.30 / $24.30 / $24.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.77 / $38.77 / $38.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $24.15 / $40.44
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.75 / $15.75 / $15.75
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.82 / $15.75 / $31.71
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.09 / $60.89 / $289.49
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.76 / $19.64 / $24.67
Optum
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.35 / $19.35 / $19.35
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.20 / $16.20 / $18.50
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.77 / $38.77 / $38.77
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $24.15 / $40.44
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $35.00 / $35.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.61 / $37.52 / $63.88