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Maine 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 $23–$260%20%40%90th$23Professionalmedian $25 · 10th–90th $20–$440%10%20%10th90th$25$20.0$50.0$100.0$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $25.70
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $23.99 / $30.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $26.30 / $35.48
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $25.12 / $52.48
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $32.36 / $63.10
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $23.99 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $26.30 / $44.67