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Hawaii 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 $66 · 10th–90th $66–$660%50%100%$66Professionalmedian $4 · 10th–90th $3–$60%20%40%10th90th$4$2.0$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66.07 / $66.07 / $66.07
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.98 / $6.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $4.07 / $7.59
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $5.50 / $6.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $5.50 / $6.76
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $4.57 / $7.94
University Health Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $3.98 / $5.01