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Kentucky 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 $5 · 10th–90th $4$70%20%10th90th$5Professionalmedian $4 · 10th–90th $3$60%20%10th90th$4$2.0$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
$3.98 / $3.98 / $18.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.98 / $6.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $3.09 / $4.37
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.55 / $4.57 / $6.03
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $4.79 / $6.61
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 / $5.75 / $23.44
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.88 / $32.36 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $4.57 / $8.32