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Texas 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
$19.44 / $108.00 / $108.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.61 / $19.44 / $24.37
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.84 / $3.84 / $3.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.58 / $5.39 / $5.39
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.81 / $6.81 / $80.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.08 / $12.00 / $15.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.00 / $70.00 / $80.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.00 / $41.00 / $45.23
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.66 / $19.00 / $23.50
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.50 / $12.50 / $15.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $10.02 / $10.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.78 / $19.44 / $24.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.21 / $12.00 / $15.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.33 / $5.99 / $10.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.08 / $6.34 / $7.11