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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
$16.02 / $23.06 / $30.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.21 / $32.13 / $48.25
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.97 / $46.24 / $60.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.18 / $38.22 / $51.50
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.86 / $39.81 / $51.75
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.26 / $55.61 / $70.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.88 / $50.10 / $73.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.13 / $48.34 / $69.95