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New Jersey 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
$19.05 / $30.20 / $63.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $36.31 / $63.10
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $48.98 / $58.88
Ambetter
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$36.31 / $36.31 / $36.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $56.23 / $93.33
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $95.50 / $114.82
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $91.20 / $151.36
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $53.70 / $89.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $44.67 / $79.43