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Kentucky rates for HCPCS 99401

Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 15 minutes

Facilitymedian $28 · 10th–90th $20–$360%10%20%10th90th$28Professionalmedian $34 · 10th–90th $21–$630%10%10th90th$34$10.0$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
$19.95 / $22.39 / $33.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $33.88 / $69.18
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $34.67 / $40.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $31.62 / $41.69
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $25.12 / $36.31
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $39.81 / $54.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $36.31 / $36.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $41.69 / $186.21
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $26.92 / $47.86
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $50.12 / $51.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $33.88 / $52.48