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Maryland 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
Professional
Modifier
Low / Median / High Price
$23.52 / $35.61 / $52.78
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.04 / $41.45 / $63.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.77 / $51.94 / $87.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.15 / $47.51 / $75.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.93 / $48.13 / $83.30
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.18 / $72.51 / $80.56