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Vermont 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 $12–$300%10%20%10th90th$17Professionalmedian $19 · 10th–90th $10–$310%10%10th90th$19$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $23.99
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $15.85 / $26.92
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $34.67 / $34.67
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $23.44 / $30.90
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $29.51 / $44.67
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $16.98 / $29.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $25.12 / $47.86