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New Mexico 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
$21.54 / $28.72 / $51.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.62 / $36.65 / $51.86
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.90 / $47.90 / $51.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.64 / $36.90 / $51.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.15 / $55.94 / $84.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.41 / $40.79 / $57.06
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.74 / $53.74 / $84.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.05 / $70.20 / $106.65