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Tennessee 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
$23.30 / $35.13 / $46.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.95 / $37.00 / $52.78
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
$37.57 / $50.09 / $81.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.96 / $35.32 / $61.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.59 / $52.50 / $83.53
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.75 / $193.75 / $209.24
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.57 / $311.22 / $321.17
Optum
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.80 / $52.01 / $68.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.19 / $52.80 / $90.91