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Virginia 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$70%20%40%10th90th$4Professionalmedian $4 · 10th–90th $3$80%20%40%10th90th$4$2.0$10.0$50.0$200.0$1.0K$5.0K

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
$3.02 / $3.98 / $3.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.98 / $7.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $5.25 / $7.59
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $4.27 / $5.89
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 / $4.79 / $8.71
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $4.57 / $6.03
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $8.13 / $8.13
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.72 / $4.57 / $6.76
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $3.80 / $3.80
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.89 / $5.13 / $7.94
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $6.03 / $9.12
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.31 / $3.31 / $3.63
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $4.57 / $7.94