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Rhode Island 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 $69 · 10th–90th $69–$760%20%40%90th$69Professionalmedian $19 · 10th–90th $15–$200%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. 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 / $22.91
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $69.18 / $75.86
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $14.45 / $16.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $12.30 / $16.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $7.08 / $10.00