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Oregon 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 $12 · 10th–90th $12–$250%50%90th$12Professionalmedian $18 · 10th–90th $14–$240%20%40%10th90th$18$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
$16.98 / $16.98 / $16.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $18.20 / $23.99
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $70.79 / $70.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $35.48 / $66.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $81.28 / $109.65
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $19.50 / $33.88
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $18.20 / $23.99
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $12.30 / $12.30
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $11.48 / $11.48
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $19.50 / $34.67
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $79.43 / $79.43
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $9.55 / $9.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $40.74 / $58.88