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Iowa rates for HCPCS 96159

Health behavior intervention, individual, face-to-face; each additional 15 minutes (List separately in addition to code for primary service)

Facilitymedian $28 · 10th–90th $19–$490%10%10th90th$28Professionalmedian $22 · 10th–90th $18–$510%20%10th90th$22$10.0$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $26.92 / $30.90
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $21.88 / $44.67
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $40.74 / $85.11
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $24.55 / $85.11
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $28.18 / $48.98
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $36.31 / $141.25
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $46.77 / $60.26
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $51.29 / $61.66
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $26.92 / $52.48
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $15.85
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $26.92 / $54.95
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $30.20 / $35.48