Behavior treatment with protocol modification by a clinician

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Adapt Bhv Tx Prtcl Modificaj Phys/Qhp Ea 15 Min

Payers reporting CPT 97155

Payer pricing summary

Low

$38

Average

$229

Median

$168

High

$2.5k

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +23 other terms	340	$177	$242	$595	246%	—	$18 – $8.4k
2	UnitedHealthcare fee schedule · outpatient · +22 other terms	270	$161	$200	$255	128%	—	$1 – $4.7k
3	Humana fee schedule · outpatient · +20 other terms	233	$166	$163	$41	25%	—	$19 – $359
4	Blue Cross Blue Shield fee schedule · outpatient · +26 other terms	225	$138	$301	$784	261%	—	$0 – $14.4k
5	WellCare fee schedule · outpatient · +9 other terms	121	$179	$195	$62	32%	—	$19 – $377
6	Cigna fee schedule · outpatient · +18 other terms	113	$178	$252	$170	67%	—	$102 – $918
7	Molina fee schedule · outpatient · +17 other terms	101	$168	$190	$106	55%	—	$19 – $411
8	Anthem fee schedule · outpatient · +13 other terms	88	$161	$154	$251	163%	—	$19 – $1.3k
9	Kaiser fee schedule · outpatient · +9 other terms	59	$257	$301	$156	52%	—	$161 – $769
10	Devoted fee schedule · outpatient · +5 other terms	55	$169	$170	$11	7%	—	$100 – $195
11	Ambetter facility · fee schedule · outpatient · +12 other terms	54	$314	$430	$838	195%	—	$149 – $7.1k
12	Optum fee schedule · outpatient · +11 other terms	33	$178	$240	$128	54%	—	$148 – $655
13	Bcbs Tx fee schedule · outpatient · +1 other terms	31	$116	$107	$39	37%	—	$32 – $184
14	Clover fee schedule · outpatient · +5 other terms	26	$176	$176	$9	5%	—	$160 – $200
15	Caresource facility · fee schedule · outpatient · +7 other terms	25	$295	$652	$1.6k	245%	—	$132 – $7.9k
16	Oscar facility · fee schedule · outpatient · +12 other terms	25	$259	$266	$44	16%	—	$184 – $334
17	Medicare fee schedule · outpatient · +1 other terms	21	$178	$175	$21	12%	—	$74 – $198
18	Regence facility · fee schedule · outpatient · +5 other terms	21	$187	$220	$81	37%	—	$149 – $496
19	Highmark fee schedule · outpatient · +8 other terms	16	$145	$144	$112	78%	—	$19 – $520
20	Medical Mutual facility · fee schedule · outpatient · +3 other terms	16	$169	$498	$1.3k	253%	—	$91 – $6.0k
21	MultiPlan fee schedule · outpatient · +11 other terms	16	$256	$247	$33	13%	—	$100 – $256
22	Amerihealth Caritas fee schedule · both · +7 other terms	13	$17	$56	$68	122%	—	$17 – $188
23	Bcbs Mn fee schedule · outpatient · +4 other terms	13	$57	$114	$127	111%	—	$11 – $564
24	Bcbs Nj fee schedule · outpatient · +1 other terms	13	$101	$240	$264	110%	—	$22 – $777
25	Wellmark fee schedule · both · +5 other terms	13	$39	$39	$2	6%	—	$25 – $39

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