ABA CPT Code & Reimbursement Cheat Sheet
See what UnitedHealthcare actually pays for the core ABA codes - and check in minutes whether your contracted rates are sitting on the payer's floor.
Want to see how Flychain can help your practice? Book a demo with us here.
What’s inside:
THE CORE CODES & MODIFIERS
Every key ABA CPT code (97151–97158) on one page: who delivers it, the 15-minute unit, and the credential modifiers (HM, HN, HO, HP) that change your rate.
REAL REIMBURSEMENT BENCHMARKS
UnitedHealthcare-family rate bands across Kansas, Oklahoma, and Missouri - floor, median, and ceiling for 97153, 97155, and 97156, so you can see the gap.
A QUICK SELF-CHECK & WATCH-OUTS
A three-step way to tell if you're on the floor, plus five common billing mistakes: wrong modifier, missing documentation, 97155 errors, concurrent billing, and authorization gaps.
Continue Reading
Related articles you might find helpful
.png)
Horizon BCBS ABA Reimbursement Benchmarks - New Jersey
Horizon BCBS NJ pays New Jersey ABA providers on one of two schedules, and most are on the lower one. Check which one you're on in under five minutes.
.png)
.png)