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Minnesota 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 $9–$580%20%10th90th$19Professionalmedian $7 · 10th–90th $6–$210%20%10th90th$7$5.0$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
$18.20 / $18.20 / $173.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $18.20 / $23.99
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.76 / $8.13 / $69.18
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $7.08 / $7.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $37.15 / $60.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $13.49 / $18.62
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $37.15 / $77.62
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $10.72 / $16.98
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $19.50 / $31.62
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $43.65 / $154.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $40.74 / $69.18