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Health And Behavior Intervention With Family

Wisconsin rates for HCPCS 96154

A session in which the patient and their family work with a clinician on how the household can better support management of the patient's physical illness. It covers practical roles — help with medicines, meals, activity and coping — with the patient present and taking part in the discussion.

Rates data updated October 2026.

How much rates vary

Facilitymedian $59 · 10th to 90th $51 to $87Professionalmedian $74 · 10th to 90th $31 to $141
$50$100facility $59professional $74

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Cigna
Setting
Facility
Modifier
None
Typical Low
$51.29
Median
$58.88
Typical High
$87.10
Cigna
Setting
Professional
Modifier
None
Typical Low
$30.90
Median
$38.90
Typical High
$42.66
Medica
Setting
Professional
Modifier
None
Typical Low
$95.50
Median
$141.25
Typical High
$141.25