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Alaska rates for HCPCS 97158

Group adaptive behavior treatment with protocol modification, administered by physician or other qualified health care professional, face-to-face with multiple patients, each 15 minutes

Facilitymedian $19 · 10th–90th $6–$250%20%40%10th90th$19Professionalmedian $19 · 10th–90th $15–$240%20%40%10th90th$19$5.0$10.0$20.0$50.0

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
$33.11 / $33.11 / $70.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $19.05 / $23.99
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $10.72 / $12.30
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $19.05 / $24.55
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $19.05 / $23.99
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $56.23 / $56.23
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $19.05 / $24.55
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $12.30 / $79.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $10.00 / $28.18