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California 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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.60 / $24.60 / $24.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.73 / $19.19 / $24.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.84 / $7.36 / $7.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $7.03 / $16.89
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.18 / $350.60 / $902.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.00 / $13.50 / $27.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.00 / $41.00 / $801.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.00 / $70.00 / $80.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.00 / $41.00 / $45.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $85.00 / $85.00
Optum
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.76 / $20.76 / $20.76
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.47 / $19.64 / $28.78
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.00 / $13.80 / $39.47
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.76 / $20.76 / $20.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.13 / $6.13 / $6.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.48 / $6.40 / $20.67