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Montana 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–$490%20%10th90th$19Professionalmedian $19 · 10th–90th $15–$240%20%40%10th90th$19$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
$15.85 / $19.05 / $23.99
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $18.62 / $23.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $16.98 / $23.44
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.76 / $87.10 / $91.20
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $87.10 / $91.20
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $19.50 / $38.02
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $58.88 / $79.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $36.31 / $50.12