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Wisconsin 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 $16$440%20%40%10th90th$19Professionalmedian $19 · 10th–90th $15$780%20%10th90th$19$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 / $18.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $18.20 / $23.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.72 / $26.92 / $91.20
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $39.81 / $47.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $18.20 / $25.12
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $19.50 / $41.69
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $21.88
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $19.50 / $35.48
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $41.69 / $154.88
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $54.95 / $85.11
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $72.44 / $128.82
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89.13 / $89.13 / $158.49
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $158.49 / $234.42
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $42.66 / $60.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $8.32
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $38.90 / $72.44