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Connecticut 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
$29.00 / $38.67 / $58.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $37.39 / $56.98
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$85.57 / $85.57 / $85.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.00 / $46.05 / $73.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.30 / $62.34 / $93.31
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.11 / $80.42 / $111.82
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.00 / $87.00 / $87.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.76 / $61.85 / $85.40