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Michigan 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 $21–$1780%20%10th90th$28Professionalmedian $23 · 10th–90th $18–$1050%10%20%10th90th$23$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
$22.91 / $177.83 / $177.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $22.91 / $123.03
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $27.54 / $27.54
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $29.51 / $31.62
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $33.88 / $38.02
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $20.42 / $26.92
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $28.18 / $53.70
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $19.05 / $53.70
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $23.44 / $177.83
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $22.91 / $48.98
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $18.20 / $30.90
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $16.60 / $28.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $23.44 / $33.11