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Vermont rates for HCPCS 99401

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

Facilitymedian $37 · 10th–90th $23–$510%10%20%10th90th$37Professionalmedian $32 · 10th–90th $19–$620%10%10th90th$32$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
$28.84 / $28.84 / $42.66
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $30.90 / $52.48
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $75.86 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $39.81 / $57.54
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $46.77 / $69.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $37.15 / $51.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $46.77 / $91.20