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New York 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 $234 · 10th–90th $23$3890%20%10th90th$234Professionalmedian $18 · 10th–90th $11$250%20%10th90th$18$5.0$20.0$100.0$500.0$2.0K$10.0K

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 / $234.42 / $389.05
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $19.05 / $23.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $11.75 / $15.14
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $70.79 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $28.18 / $194.98
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $44.67 / $44.67
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $21.88
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.31 / $3.31 / $28.18
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $32.36 / $47.86
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $19.95 / $19.95
Optum
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $9.12 / $9.12
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.51 / $11.48 / $112.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $39.81 / $57.54
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.31 / $3.47 / $24.55
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $24.55 / $47.86