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.
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What’s inside:
1
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.
2
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.
3
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.
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