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Michigan rates for HCPCS 96164

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

Facilitymedian $11 · 10th–90th $10–$140%50%10th90th$11Professionalmedian $9 · 10th–90th $8–$150%10%20%10th90th$9$5.0$10.0$20.0$50.0$100.0$200.0

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
$10.00 / $10.00 / $10.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $8.91 / $12.88
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $13.18 / $14.45
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $15.14 / $16.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.94 / $23.44
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.77 / $10.00 / $10.96
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $10.00 / $15.49
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.94 / $13.49
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $38.90 / $104.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $10.00 / $13.80