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Mississippi 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 $16 · 10th–90th $15–$1410%20%10th90th$16Professionalmedian $19 · 10th–90th $15–$240%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
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $16.22 / $141.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $19.05 / $23.99
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $10.96 / $10.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $12.02 / $15.85
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $25.12 / $50.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $5.89 / $8.71