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Florida 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 $8–$2880%20%10th90th$19Professionalmedian $18 · 10th–90th $12–$240%50%10th90th$18$0.2$1.0$5.0$20.0$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
$10.96 / $19.05 / $288.40
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $19.05 / $23.99
AvMed
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $10.00 / $10.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $70.79 / $70.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $21.88 / $38.90
Florida Blue
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $7.41 / $10.72
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $19.50 / $50.12
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $7.76 / $9.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $13.80 / $45.71
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $6.92 / $10.72