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Massachusetts rates for HCPCS 96168

Health behavior intervention, family (with the patient present), face-to-face; each additional 15 minutes (List separately in addition to code for primary service)

Facilitymedian $23 · 10th–90th $17–$400%10%20%10th90th$23Professionalmedian $26 · 10th–90th $20–$680%10%10th90th$26$10.0$20.0$50.0$100.0$200.0$500.0

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
$21.88 / $21.88 / $25.12
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $23.99 / $63.10
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$134.90 / $134.90 / $134.90
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $30.90 / $81.28
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $33.88 / $69.18
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $30.90 / $66.07
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $27.54 / $60.26
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $22.91 / $33.88
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $31.62
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $38.02 / $69.18
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $363.08 / $363.08
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$134.90 / $134.90 / $134.90
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $30.90 / $81.28
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $25.70 / $28.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $28.18 / $69.18