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Wisconsin 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 $5$280%20%40%10th90th$19Professionalmedian $19 · 10th–90th $6$240%20%40%10th90th$19$5.0$10.0$20.0$50.0$100.0

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
$19.05 / $19.05 / $19.05
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $19.05 / $23.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.72 / $5.25 / $16.22
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $39.81 / $47.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $13.49 / $20.42
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $19.05 / $24.55
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $3.89 / $3.89
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.57 / $19.05 / $24.55
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $10.72 / $40.74
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $54.95 / $85.11
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $9.12 / $16.22
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $21.88 / $40.74
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $42.66 / $60.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.77 / $9.77 / $11.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $9.33 / $17.78