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Nebraska 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
$19.63 / $26.17 / $37.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.14 / $32.74 / $49.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.59 / $240.69 / $286.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.92 / $73.54 / $101.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.12 / $88.15 / $126.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.17 / $43.21 / $71.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.06 / $96.77 / $321.17
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.62 / $83.15 / $116.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.74 / $83.15 / $122.04
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.41 / $50.69 / $53.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.17 / $80.68 / $109.13