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Wisconsin 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 $4–$90%20%10th90th$5Professionalmedian $4 · 10th–90th $3–$160%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
$3.98 / $3.98 / $19.05
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.98 / $6.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $6.17 / $14.79
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $16.60 / $24.55
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $9.77 / $18.20
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.89 / $4.79 / $6.46
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $8.51 / $13.18
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.89 / $4.79 / $6.92
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $7.08 / $28.84
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $70.79
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $5.13 / $12.30
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $7.76 / $12.88
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $10.47 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $5.62 / $30.20
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $5.13 / $5.50
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $8.32 / $16.98
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.63 / $4.07 / $4.07
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $7.41 / $19.95