CareFirst BCBS reimbursement rates in West Virginia
For 97153 (one-on-one ABA therapy by a technician), the median of CareFirst BCBS's published West Virginia rates is $24.46 per 15 min (13 rates, 60 providers). That is 147% above West Virginia Medicaid's fee-for-service rate of $9.90.
- Codes with a median
- 92
- 97153 median
- $24.46per 15 min
- Files
- October 2026
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CareFirst BCBS vs West Virginia Medicaid
Across 13 published rates from 60 providers, CareFirst BCBS pays a median of $32.61 per 15 min for 97155 (ABA therapy led by the analyst (plan adjusted in session)) in West Virginia. That is 12% above West Virginia Medicaid's fee-for-service rate of $29.14. CareFirst BCBS publishes West Virginia rates for 92 of the codes we track. Figures are from the October 2026 files.
| Code | CareFirst BCBS median | Per hour | West Virginia Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $24.46per 15 min | $97.84 | $9.90147% above | — | 1360 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $32.61per 15 min | $130.44 | $29.1412% above | — | 1360 providers |
All 92 CareFirst BCBS codes with a median in West Virginia
Frequently asked questions
What does CareFirst BCBS pay for 97153 in West Virginia?
The median of CareFirst BCBS's published West Virginia rates for 97153 is $24.46 per 15 min ($97.84 per hour), from 13 rates and 60 providers in the October 2026 files.
Does CareFirst BCBS pay more than West Virginia Medicaid for 97153?
CareFirst BCBS's median is 147% above the Medicaid fee-for-service rate of $9.90 per 15 min.
What does CareFirst BCBS pay for 97155 in West Virginia?
The median of CareFirst BCBS's published West Virginia rates for 97155 is $32.61 per 15 min ($130.44 per hour), from 13 rates and 60 providers in the October 2026 files.
Does CareFirst BCBS pay more than West Virginia Medicaid for 97155?
CareFirst BCBS's median is 12% above the Medicaid fee-for-service rate of $29.14 per 15 min.
How many codes does CareFirst BCBS publish rates for in West Virginia?
92 of the behavioral health, ABA, therapy, home health and other codes we track have a CareFirst BCBS median in West Virginia. The full list, with ranges and modifier tiers, is in the workspace.