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Washington, DC 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.

Professionalmedian $35 · 10th–90th $23–$560%10%10th90th$35$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
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $34.67 / $56.23
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $36.31 / $48.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $64.57 / $141.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $47.86 / $70.79
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $53.70 / $100.00