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New Mexico 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 $6–$250%20%40%10th90th$19Professionalmedian $19 · 10th–90th $15–$240%50%10th90th$19$5.0$10.0$20.0$50.0

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
$19.95 / $19.95 / $19.95
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
$5.25 / $5.25 / $7.08
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $12.02 / $15.14
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $60.26 / $85.11
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.50 / $19.05 / $24.55
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $12.59 / $60.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $9.77 / $11.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $8.32 / $11.75