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Indiana 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 $18 · 10th–90th $15–$1510%50%10th90th$18Professionalmedian $18 · 10th–90th $11–$240%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
$15.14 / $18.20 / $151.36
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $18.20 / $23.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $5.13 / $10.00
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $44.67
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $19.05
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $24.55 / $40.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $23.44 / $42.66