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Nationwide rates for HCPCS 97157

Multiple-family group adaptive behavior treatment guidance, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of guardians/caregivers, each 15 minutes

Facilitymedian $19 · 10th–90th $12–$600%20%10th90th$19Professionalmedian $19 · 10th–90th $12–$260%20%40%10th90th$19$0.2$2.0$20.0$200.0$2.0K$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
$15.14 / $23.99 / $234.42
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $18.20 / $23.99
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.92 / $7.41 / $7.41
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $7.59 / $26.92
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $70.79 / $70.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $21.88 / $42.66
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $13.49 / $67.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $26.30 / $57.54

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