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Massachusetts 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 $24 · 10th–90th $13$710%20%10th90th$24Professionalmedian $20 · 10th–90th $15$520%20%10th90th$20$5.0$10.0$20.0$50.0$100.0

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
$23.99 / $23.99 / $23.99
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $19.05 / $23.99
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $70.79 / $70.79
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $10.47 / $40.74
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $31.62 / $70.79
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $29.51 / $64.57
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $12.02 / $15.85
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.24 / $12.88 / $60.26
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $7.24 / $12.88
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $34.67 / $64.57
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $16.22 / $64.57
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $70.79 / $70.79
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $10.47 / $40.74
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $13.80 / $13.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $13.49 / $66.07