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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
$32.36 / $39.81 / $47.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $38.02 / $60.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $69.18 / $69.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $61.66 / $77.62
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $72.44 / $117.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $54.95 / $93.33