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Oregon 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 $7 · 10th–90th $4–$90%20%10th90th$7Professionalmedian $4 · 10th–90th $3–$110%20%10th90th$4$2.0$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$10.23 / $10.23 / $11.75
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.98 / $10.23
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 / $6.46 / $11.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $8.51 / $11.75
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $4.79 / $7.94
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $7.94 / $12.30
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.62 / $9.33 / $9.33
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $4.79 / $7.94
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $7.76 / $13.49
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $6.17 / $10.72
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $6.31 / $10.47