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New York 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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.66 / $230.00 / $363.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.73 / $19.30 / $24.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $8.73 / $14.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.97 / $5.97 / $5.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.69 / $13.89 / $24.97
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.31 / $4.92 / $6.33
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $6.33 / $10.63
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.97 / $5.97 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.58 / $8.58 / $16.20
Optum
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.58 / $12.79 / $12.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.93 / $6.63 / $17.87
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.92 / $6.33 / $6.33
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.92 / $6.59 / $13.39