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Nationwide rates for HCPCS 99484

Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a physician or other qualified health care professional, per calendar month, with the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales, behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes, facilitating and coordinating treatment such as psychotherapy, pharmacotherapy, counseling and/or psychiatric consultation, and continuity of care with a designated member of the care team.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $36.31 / $72.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $37.15 / $60.26
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$85.11 / $85.11 / $85.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $67.61 / $70.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $43.65 / $85.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $60.26 / $169.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $57.54 / $120.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $57.54 / $85.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $47.86 / $83.18