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Iowa 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 $6 · 10th–90th $4–$100%10%10th90th$6Professionalmedian $4 · 10th–90th $3–$100%20%40%10th90th$4$2.0$10.0$50.0$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
$5.01 / $5.01 / $6.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.98 / $10.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $8.51 / $17.78
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.72 / $5.01 / $7.24
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $5.75 / $10.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $7.41 / $27.54
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $10.23 / $12.88
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $10.23 / $13.80
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $5.13 / $10.47
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.16 / $3.16 / $3.16
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $5.25 / $10.72
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $6.31 / $7.41