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Oklahoma 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.

Facilitymedian $42 · 10th–90th $24–$590%10%10th90th$42Professionalmedian $35 · 10th–90th $22–$510%10%10th90th$35$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $34.67 / $51.29
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $47.86 / $54.95
Ambetter
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$45.71 / $45.71 / $54.95
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $29.51 / $51.29
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $53.70 / $74.13
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $41.69 / $57.54
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $63.10 / $323.59
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $50.12 / $81.28
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $44.67 / $66.07
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$85.11 / $85.11 / $85.11