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Maine 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
$28.06 / $41.27 / $49.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.10 / $40.11 / $55.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.24 / $50.80 / $78.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.39 / $54.20 / $105.55
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.85 / $57.46 / $82.97
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.76 / $42.30 / $83.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.32 / $66.37 / $99.10