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Wisconsin 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 $26 · 10th–90th $21–$480%10%20%10th90th$26Professionalmedian $25 · 10th–90th $20–$660%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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $25.70 / $100.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $23.99 / $30.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $33.11 / $81.28
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$67.61 / $89.13 / $131.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $51.29 / $93.33
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $25.12 / $35.48
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $44.67 / $67.61
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $25.12 / $38.02
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $38.90 / $158.49
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
$19.95 / $27.54 / $67.61
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $43.65 / $74.13
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $134.90
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $30.20 / $162.18
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $26.92 / $30.20
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $45.71 / $91.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $22.39 / $22.39
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $36.31 / $104.71