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Maryland rates for HCPCS 96164

Health behavior intervention, group (2 or more patients), face-to-face; initial 30 minutes

Facilitymedian $9 · 10th–90th $7–$180%10%10th90th$9Professionalmedian $9 · 10th–90th $8–$140%20%10th90th$9$5.0$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
$7.94 / $7.94 / $8.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $8.91 / $12.88
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $9.77 / $11.75
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $9.77 / $20.42
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $10.23 / $13.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.92 / $10.47 / $19.05
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $9.77 / $16.22
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $12.02 / $17.78