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Oklahoma 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 $5–$200%20%10th90th$16Professionalmedian $19 · 10th–90th $7–$220%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
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $19.05 / $21.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $12.02 / $14.45
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.57 / $15.85 / $20.42
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $6.92 / $40.74
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.37 / $5.37 / $35.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $6.03 / $10.23