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Iowa 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 $26 · 10th–90th $18–$630%20%10th90th$26Professionalmedian $18 · 10th–90th $15–$250%50%10th90th$18$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
$51.29 / $51.29 / $63.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $18.20 / $23.99
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $17.38 / $38.90
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $52.48 / $66.07
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $19.05 / $38.02
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $41.69 / $154.88
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $38.02 / $44.67
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $17.38 / $43.65
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $33.88 / $41.69
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
$19.05 / $32.36 / $54.95
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $9.55 / $9.55