Tynbil: Know the *real* price for healthcare services

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	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.16 / $36.29 / $49.32	Facility		$25.16	$36.29	$49.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.62 / $36.46 / $52.78	Professional		$23.62	$36.46	$52.78
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $85.57 / $85.57 / $85.57	Professional	25	$85.57	$85.57	$85.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $136.44 / $136.44 / $136.44	Facility		$136.44	$136.44	$136.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.00 / $42.89 / $72.43	Professional		$29.00	$42.89	$72.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.70 / $57.70 / $57.70	Facility		$57.70	$57.70	$57.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.49 / $55.94 / $89.83	Professional		$35.49	$55.94	$89.83
United Facility/Professional Facility Modifier Low / Median / High Price $63.17 / $63.17 / $63.17	Facility		$63.17	$63.17	$63.17
United Facility/Professional Professional Modifier Low / Median / High Price $41.45 / $57.88 / $92.87	Professional		$41.45	$57.88	$92.87

Nationwide rates for HCPCS 99484

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