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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
Facility
Modifier
Low / Median / High Price
$19.95 / $26.92 / $40.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $36.31 / $60.26
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $38.02 / $58.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $53.70 / $91.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $47.86 / $69.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $57.54 / $79.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $43.65 / $75.86
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $77.62 / $93.33