Aetna reimbursement rates in West Virginia
For 97153 (one-on-one ABA therapy by a technician), the median of Aetna's published West Virginia rates is $15.55 per 15 min (6 rates, 13 providers). That is 57% above West Virginia Medicaid's fee-for-service rate of $9.90.
- Codes with a median
- 44
- 97153 median
- $15.55per 15 min
- Files
- October 2026
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Aetna vs West Virginia Medicaid
Across 6 published rates from 13 providers, Aetna pays a median of $20.97 per 15 min for 97155 (ABA therapy led by the analyst (plan adjusted in session)) in West Virginia. That is 28% below West Virginia Medicaid's fee-for-service rate of $29.14. Aetna publishes West Virginia rates for 44 of the codes we track. Figures are from the October 2026 files.
| Code | Aetna median | Per hour | West Virginia Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $15.55per 15 min | $62.20 | $9.9057% above | — | 613 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $20.97per 15 min | $83.88 | $29.1428% below | — | 613 providers |
All 44 Aetna codes with a median in West Virginia
Frequently asked questions
What does Aetna pay for 97153 in West Virginia?
The median of Aetna's published West Virginia rates for 97153 is $15.55 per 15 min ($62.20 per hour), from 6 rates and 13 providers in the October 2026 files.
Does Aetna pay more than West Virginia Medicaid for 97153?
Aetna's median is 57% above the Medicaid fee-for-service rate of $9.90 per 15 min.
What does Aetna pay for 97155 in West Virginia?
The median of Aetna's published West Virginia rates for 97155 is $20.97 per 15 min ($83.88 per hour), from 6 rates and 13 providers in the October 2026 files.
Does Aetna pay more than West Virginia Medicaid for 97155?
Aetna's median is 28% below the Medicaid fee-for-service rate of $29.14 per 15 min.
How many codes does Aetna publish rates for in West Virginia?
44 of the behavioral health, ABA, therapy, home health and other codes we track have a Aetna median in West Virginia. The full list, with ranges and modifier tiers, is in the workspace.