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Missouri 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 $15–$360%20%10th90th$19Professionalmedian $18 · 10th–90th $15–$280%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
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $18.20 / $23.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $26.92 / $42.66
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $3.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $20.42 / $33.88
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $19.50 / $36.31
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $30.90 / $154.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $8.71 / $35.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $26.30 / $50.12