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South Carolina 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
Professional
Modifier
Low / Median / High Price
$22.91 / $37.15 / $69.18
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$85.11 / $85.11 / $85.11
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $51.29 / $60.26
Ambetter
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$36.31 / $50.12 / $51.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $45.71 / $45.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $47.86 / $70.79
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $42.66 / $67.61
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $44.67 / $69.18