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Colorado 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 $29 · 10th–90th $29–$1150%50%90th$29Professionalmedian $18 · 10th–90th $13–$260%20%40%10th90th$18$5.0$10.0$20.0$50.0$100.0

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
$28.84 / $28.84 / $114.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $19.05 / $23.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $11.48 / $25.70
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $22.91 / $30.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $162.18
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $10.47 / $25.70
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $8.32
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $23.44 / $50.12