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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
$23.59 / $36.29 / $56.98
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$85.57 / $85.57 / $85.57
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.26 / $68.70 / $77.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.79 / $45.79 / $45.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.77 / $47.84 / $71.23
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.76 / $39.02 / $65.61
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.37 / $72.92 / $112.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.36 / $50.24 / $89.20