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Florida rates for HCPCS 96165

Health behavior intervention, group (2 or more patients), face-to-face; each additional 15 minutes (List separately in addition to code for primary service)

Facilitymedian $3 · 10th–90th $3–$40%50%90th$3Professionalmedian $4 · 10th–90th $3–$100%20%10th90th$4$0.1$0.2$1.0$5.0$20.0$100.0$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
$3.02 / $3.02 / $3.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.98 / $13.18
AvMed
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $4.17 / $5.01
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.24 / $7.24 / $7.24
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $4.68 / $8.51
Florida Blue
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $3.55 / $4.68
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.31 / $3.31 / $3.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $4.47 / $7.94
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $4.17 / $5.01