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New Jersey 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 $17 · 10th–90th $11–$360%20%10th90th$17Professionalmedian $20 · 10th–90th $10–$380%10%10th90th$20$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
$10.96 / $17.38 / $36.31
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $18.20 / $33.88
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $22.91
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $19.05 / $19.50
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $21.88 / $42.66
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $36.31 / $52.48
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $23.99 / $44.67
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $20.42 / $41.69