Ambetter (Centene) ABA reimbursement rates in West Virginia
For ABA therapy by a technician (97153), Ambetter (Centene)'s median in West Virginia is $24.30 per 15 min, or $97.20 an hour, from 14 published rates. That is 146% above West Virginia Medicaid ($9.90).
- 97153 median
- $24.30per 15 min
- 97155 median
- $23.14per 15 min
- Files
- September 2026
On this page
Ambetter (Centene) vs West Virginia Medicaid and TRICARE
For protocol modification by the analyst (97155), Ambetter (Centene)'s median in West Virginia is $23.14 per 15 min, or $92.56 an hour, from 9 published rates. That is 21% below West Virginia Medicaid ($29.14). Ambetter (Centene) pays 0.95 times as much for analyst time as for technician time in West Virginia. Figures come from Ambetter (Centene)'s September 2026 price-transparency files. 24 credential or modifier tiers are broken out in the workspace.
| Code | Ambetter (Centene) median | Per hour | West Virginia Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $24.30per 15 min | $97.20 | $9.90 | — | 1432 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $23.14per 15 min | $92.56 | $29.14 | — | 917 providers |
Every ABA code Ambetter (Centene) publishes in West Virginia
Frequently asked questions
What does Ambetter (Centene) pay for 97153 in West Virginia?
The median of Ambetter (Centene)'s published West Virginia rates for 97153 is $24.30 per 15 min ($97.20 per hour), from 14 rates and 32 providers in the September 2026 files.
What does Ambetter (Centene) pay for 97155 in West Virginia?
The median of Ambetter (Centene)'s published West Virginia rates for 97155 is $23.14 per 15 min ($92.56 per hour), from 9 rates and 17 providers in the September 2026 files.
Does Ambetter (Centene) pay more than West Virginia Medicaid for ABA?
For 97153, Ambetter (Centene)'s median is 146% above the West Virginia Medicaid fee-for-service rate of $9.90 per 15 min.