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West Virginia 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
$25.16 / $35.51 / $46.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.52 / $34.39 / $48.43
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.45 / $43.13 / $60.86
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.28 / $60.77 / $117.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.70 / $57.70 / $57.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.78 / $55.65 / $199.55
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.76 / $64.76 / $64.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.93 / $49.54 / $77.38