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Massachusetts 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 $10–$710%20%10th90th$26Professionalmedian $24 · 10th–90th $17–$550%20%10th90th$24$10.0$20.0$50.0$100.0$200.0

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
$23.99 / $23.99 / $23.99
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $19.05 / $23.99
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $208.93 / $208.93
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $36.31 / $234.42
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $33.88 / $70.79
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $31.62 / $69.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $23.99 / $48.98
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $26.30 / $60.26
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $26.30 / $26.30
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $35.48 / $66.07
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $208.93 / $208.93
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $36.31 / $234.42
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.51 / $10.00 / $10.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $33.11 / $74.13