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New Hampshire 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 $3,981 · 10th–90th $3,631–$4,8980%20%40%10th90th$3,981Professionalmedian $19 · 10th–90th $6–$430%20%10th90th$19$5.0$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $19.05 / $23.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $6.31 / $7.41
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $12.02 / $16.98
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $33.11 / $64.57
Optum
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $13.49 / $13.49
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $14.79 / $64.57
Well Sense
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,511.89 / $3,981.07 / $4,897.79