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New Jersey rates for HCPCS 99401

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

Facilitymedian $33 · 10th–90th $20–$550%10%20%10th90th$33Professionalmedian $35 · 10th–90th $21–$710%10%10th90th$35$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 / $33.11 / $54.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $33.88 / $70.79
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $34.67 / $45.71
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $30.90 / $56.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $38.90 / $46.77
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $40.74 / $70.79
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $56.23 / $83.18
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $40.74 / $72.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $36.31 / $70.79