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Wisconsin rates for HCPCS 96164

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

Facilitymedian $10 · 10th–90th $9$190%20%10th90th$10Professionalmedian $10 · 10th–90th $8$300%10%20%10th90th$10$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
$8.91 / $10.00 / $39.81
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $8.91 / $12.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $12.88 / $32.36
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $36.31 / $52.48
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $20.89 / $38.02
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.51 / $10.23 / $14.13
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $18.62 / $27.54
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.51 / $10.23 / $15.14
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $15.14 / $63.10
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
$7.94 / $10.96 / $26.30
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $18.20 / $30.20
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $12.02 / $63.10
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $10.72 / $12.02
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $17.78 / $37.15
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $8.71 / $8.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $16.22 / $42.66