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Indiana 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
$18.20 / $28.84 / $75.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $34.67 / $54.95
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $48.98 / $60.26
Ambetter
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$36.31 / $36.31 / $36.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $38.02 / $60.26
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $40.74 / $53.70
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $57.54 / $70.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $40.74 / $60.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $51.29 / $77.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $44.67 / $64.57