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Massachusetts rates for HCPCS 99412

Preventive medicine counseling and/or risk factor reduction intervention(s) provided to individuals in a group setting (separate procedure); approximately 60 minutes

Facilitymedian $13 · 10th–90th $6–$230%10%10th90th$13Professionalmedian $22 · 10th–90th $11–$520%5%10%10th90th$22$5.0$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
$12.88 / $12.88 / $22.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $19.05 / $36.31
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $128.82 / $128.82
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $25.70 / $81.28
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $32.36
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $24.55 / $50.12
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.62 / $10.00 / $19.05
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $22.91 / $42.66
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $28.18 / $61.66
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $128.82 / $128.82
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $25.70 / $81.28
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $16.98 / $16.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $26.92 / $61.66