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Delaware 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 $32 · 10th–90th $13–$690%5%10%10th90th$32Professionalmedian $19 · 10th–90th $17–$240%50%10th90th$19$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
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $19.05 / $23.99
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $26.92 / $30.90
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $31.62 / $67.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $11.22 / $50.12