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New Mexico 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 $23 · 10th–90th $19$300%10%20%10th90th$23Professionalmedian $21 · 10th–90th $17$280%20%10th90th$21$10.0$20.0$50.0$100.0

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 / $22.91 / $25.70
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $20.89 / $28.18
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $16.60 / $23.99
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $25.12 / $40.74
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $22.91 / $30.20
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $25.70 / $41.69
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $16.60 / $29.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $26.30 / $42.66