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New York 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$950%10%20%10th90th$5Professionalmedian $4 · 10th–90th $3$100%20%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
$3.72 / $5.25 / $95.50
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.98 / $10.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $4.17 / $6.92
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.50 / $5.50 / $5.50
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $5.50 / $6.46
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 / $4.90 / $12.30
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.24 / $3.24 / $13.18
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $7.41
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $4.79 / $4.79
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $5.89 / $10.23
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $6.61 / $16.98
Optum
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $4.37 / $6.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.89 / $3.89 / $4.68
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $5.13 / $12.02
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.39 / $4.90 / $4.90
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $5.75 / $10.23