Ambetter (Centene) reimbursement rates in Pennsylvania
Ambetter (Centene)'s median rate for 97153 (one-on-one ABA therapy by a technician) in Pennsylvania is $28.14 per 15 min, across 8 published rates from 10 providers. That is 121% above Pennsylvania Medicaid's fee-for-service rate of $12.73.
- Codes with a median
- 28
- 97153 median
- $28.14per 15 min
- Files
- August 2026
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Ambetter (Centene) vs Pennsylvania Medicaid
For 90837 (outpatient psychotherapy and diagnostic evaluation), the median of Ambetter (Centene)'s published Pennsylvania rates is $141.56 per session (88 rates, 78 providers). Ambetter (Centene) publishes Pennsylvania rates for 28 of the codes we track. Figures are from the August 2026 files.
| Code | Ambetter (Centene) median | Per hour | Pennsylvania Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $28.14per 15 min | $112.56 | $12.73121% above | — | 810 providers |
| 90837Outpatient psychotherapy and diagnostic evaluation | $141.56per session | — | — | — | 8878 providers |
All 28 Ambetter (Centene) codes with a median in Pennsylvania
Frequently asked questions
What does Ambetter (Centene) pay for 97153 in Pennsylvania?
The median of Ambetter (Centene)'s published Pennsylvania rates for 97153 is $28.14 per 15 min ($112.56 per hour), from 8 rates and 10 providers in the August 2026 files.
Does Ambetter (Centene) pay more than Pennsylvania Medicaid for 97153?
Ambetter (Centene)'s median is 121% above the Medicaid fee-for-service rate of $12.73 per 15 min.
What does Ambetter (Centene) pay for 90837 in Pennsylvania?
The median of Ambetter (Centene)'s published Pennsylvania rates for 90837 is $141.56 per session, from 88 rates and 78 providers in the August 2026 files.
How many codes does Ambetter (Centene) publish rates for in Pennsylvania?
28 of the behavioral health, ABA, therapy, home health and other codes we track have a Ambetter (Centene) median in Pennsylvania. The full list, with ranges and modifier tiers, is in the workspace.