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New Jersey 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 $8 · 10th–90th $3–$4470%10%20%10th90th$8Professionalmedian $4 · 10th–90th $3–$70%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
$3.02 / $7.94 / $446.68
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 / $4.57 / $9.77
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $7.59
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.72 / $4.27 / $7.41
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.89 / $4.68 / $4.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $4.37 / $7.76