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Montana 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–$80%10%10th90th$6Professionalmedian $4 · 10th–90th $3–$70%20%40%10th90th$4$2.0$5.0$10.0$20.0$50.0

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
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.98 / $5.01
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $5.62 / $7.41
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.31 / $6.31 / $7.41
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $4.79 / $11.48
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.89 / $7.08 / $8.13
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $7.08 / $8.13
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.72 / $4.68 / $7.59
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $8.32 / $79.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $5.62 / $10.00