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South Dakota 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 $4–$80%20%40%10th90th$4Professionalmedian $4 · 10th–90th $3–$90%20%10th90th$4$5.0$10.0$20.0

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
$3.98 / $3.98 / $3.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.98 / $5.01
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $9.33 / $12.02
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $4.68 / $7.94
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $6.03 / $28.84
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $10.23 / $12.02
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $7.94
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $5.89 / $9.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $4.47 / $10.00
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $6.46 / $7.59