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Maryland rates for HCPCS 99402

Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 30 minutes

Facilitymedian $45 · 10th–90th $35–$620%20%10th90th$45Professionalmedian $56 · 10th–90th $40–$1150%10%10th90th$56$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
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $56.23 / $123.03
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $37.15 / $67.61
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $64.57 / $107.15
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $69.18 / $97.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $44.67 / $61.66
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $63.10 / $104.71
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $67.61 / $97.72