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Georgia 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
$23.99 / $32.08 / $37.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.97 / $36.15 / $52.79
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.25 / $51.77 / $62.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.54 / $48.78 / $82.78
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.19 / $45.53 / $66.53
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.48 / $65.36 / $84.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.57 / $51.58 / $97.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.58 / $53.19 / $147.60
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.80 / $54.61 / $66.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.20 / $59.12 / $109.09