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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
Facility
Modifier
Low / Median / High Price
$28.06 / $41.27 / $49.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.10 / $38.67 / $53.68
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.24 / $59.24 / $59.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.24 / $55.41 / $79.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.00 / $65.34 / $149.87
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.32 / $78.13 / $146.52
Optum
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.50 / $55.80 / $61.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.80 / $71.04 / $122.76
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.12 / $37.27 / $55.91