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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
$21.15 / $30.28 / $43.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.91 / $36.46 / $51.84
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.77 / $56.69 / $58.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.11 / $52.53 / $92.55
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.45 / $80.42 / $89.84
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.44 / $69.76 / $147.11
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.32 / $53.95 / $79.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.20 / $60.55 / $93.41