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Vermont 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
$32.32 / $40.74 / $48.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.92 / $42.80 / $56.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.00 / $650.00 / $650.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.52 / $69.84 / $76.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.81 / $56.55 / $77.68
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.00 / $63.72 / $103.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.42 / $70.84 / $127.05