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Vermont 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–$50%20%40%90th$4Professionalmedian $4 · 10th–90th $3–$60%20%40%10th90th$4$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $5.01
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.98 / $5.01
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $4.37 / $5.75
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $4.68 / $6.46
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $6.76 / $11.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $4.47 / $10.00