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Washington 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 $3$90%10%10th90th$5Professionalmedian $4 · 10th–90th $3$100%20%10th90th$4$2.0$10.0$50.0$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
$4.68 / $11.75 / $602.56
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.98 / $24.55
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.72 / $4.57 / $10.23
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $5.50 / $8.32
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $5.25 / $11.48
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.47 / $4.47 / $6.92
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $4.47 / $6.92
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $12.88 / $33.11
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.62 / $9.33 / $9.33
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.89 / $5.89 / $5.89
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $6.46 / $11.48
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $5.50 / $8.32
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.55 / $3.55 / $4.37
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $5.50 / $10.00
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $5.50 / $10.47