go back

Florida 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
$25.12 / $36.31 / $48.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $38.02 / $67.61
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $52.48 / $64.57
Ambetter
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$36.31 / $36.31 / $36.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $50.12 / $93.33
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $41.69 / $54.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $32.36 / $38.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $44.67 / $77.62
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $27.54 / $57.54