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Missouri 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 $11–$370%20%10th90th$19Professionalmedian $19 · 10th–90th $5–$220%20%40%10th90th$19$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
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $19.05 / $23.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $4.90 / $9.77
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $5.01
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $12.30 / $15.14
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $19.50 / $37.15
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $7.76 / $40.74
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.77 / $12.02 / $35.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $6.61 / $11.22