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Missouri 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
$52.14 / $54.22 / $76.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.68 / $32.39 / $51.74
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$85.57 / $85.57 / $85.57
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.99 / $45.27 / $77.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.67 / $32.92 / $58.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.52 / $52.63 / $86.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.78 / $37.96 / $60.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.92 / $65.26 / $321.17
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.67 / $56.67 / $56.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.04 / $54.02 / $76.27