Official Medicaid FFS for CPT 97153 (adaptive behavior treatment by protocol, 15-minute unit) is parsed for Indiana $16.04; Missouri $20.13; Mississippi $15.08; North Dakota $10.81; Oklahoma $17.35. Kentucky publishes 97153 as $0.00 on the 2026 physician file, so that cell is skipped. Medicare PFS for ABA is not loaded in this extract.
Last verified 2026-09-10. Amounts are 15-minute units as published. See Methodology, Data Sources, and each source link.
| State | Medicaid FFS | Modifier | Effective | Source | Commercial |
|---|---|---|---|---|---|
| Indiana | $16.04 | U1 | 2026-04-01 | IHCP Professional | Coming soon |
| Missouri | $20.13 | HO | 2024-07-01 | MO HealthNet Behavioral Health | Coming soon |
| Mississippi | $15.08 | n/a | 2025-12-01 | MS DOM Comprehensive | Coming soon |
| North Dakota | $10.81 | n/a | 2026-08-01 | ND Medicaid Professional | Coming soon |
| Oklahoma | $17.35 | n/a | 2026-07-01 | OHCA Title XIX | Coming soon |