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Maryland 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 $4 · 10th–90th $3–$90%10%10th90th$4Professionalmedian $4 · 10th–90th $3–$80%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. 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 / $8.32
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $4.27 / $5.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $4.37 / $9.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $4.37 / $5.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.16 / $4.90 / $9.33
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $4.37 / $7.24
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $5.13 / $7.59