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Wisconsin 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$420%20%10th90th$23Professionalmedian $24 · 10th–90th $18$790%10%20%10th90th$24$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
$20.89 / $23.99 / $91.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $21.88 / $70.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $30.90 / $74.13
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $20.42 / $30.20
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $29.51 / $53.70
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $79.43 / $117.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $46.77 / $87.10
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $23.44 / $33.11
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $40.74 / $61.66
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $23.44 / $34.67
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $35.48 / $141.25
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $70.79
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $24.55 / $61.66
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $39.81 / $66.07
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $50.12 / $123.03
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $27.54 / $144.54
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $24.55 / $27.54
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $42.66 / $81.28
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $20.89 / $20.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $28.18 / $89.13