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Maine 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 $10 · 10th–90th $10–$200%20%40%90th$10Professionalmedian $21 · 10th–90th $11–$450%5%10%10th90th$21$10.0$20.0$50.0$100.0

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
$10.00 / $10.00 / $19.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $19.05 / $33.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $24.55 / $46.77
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $23.44 / $47.86
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $28.84 / $60.26
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $19.95 / $34.67
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $28.18 / $50.12