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New Hampshire 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
$22.91 / $36.31 / $54.95
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $48.98 / $56.23
Ambetter
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$51.29 / $53.70 / $117.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $70.79 / $91.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $64.57 / $102.33
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $66.07 / $120.23
Optum
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $54.95 / $61.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $63.10 / $117.49
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $32.36 / $32.36