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Maryland rates for HCPCS 99404

Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 60 minutes

Facilitymedian $87 · 10th–90th $71$1100%20%10th90th$87Professionalmedian $102 · 10th–90th $79$2090%10%10th90th$102$50.0$100.0$200.0$500.0

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
$79.43 / $100.00 / $223.87
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $75.86 / $134.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $117.49 / $190.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $120.23 / $169.82
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $87.10 / $109.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $117.49 / $186.21
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $154.88 / $169.82