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New Jersey rates for HCPCS 96164

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

Facilitymedian $17 · 10th–90th $8–$1480%10%10th90th$17Professionalmedian $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 / $15.14 / $147.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $8.91 / $12.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $10.23 / $20.89
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $6.61 / $17.78
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $91.20 / $151.36
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $9.12 / $15.85
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.51 / $10.00 / $10.47
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $9.55 / $16.98