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Illinois 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
$18.72 / $30.73 / $72.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.56 / $34.39 / $51.84
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.89 / $51.77 / $66.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.44 / $136.44 / $136.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.03 / $55.17 / $78.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.70 / $57.70 / $57.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.79 / $60.94 / $94.08
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.11 / $58.17 / $145.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $53.05 / $81.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.61 / $57.88 / $87.31