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Wisconsin rates for HCPCS 99492

Initial psychiatric collaborative care management, first 70 minutes in the first calendar month of behavioral health care manager activities, in consultation with a psychiatric consultant, and directed by the treating physician or other qualified health care professional, with the following required elements: outreach to and engagement in treatment of a patient directed by the treating physician or other qualified health care professional, initial assessment of the patient, including administration of validated rating scales, with the development of an individualized treatment plan, review by the psychiatric consultant with modifications of the plan if recommended, entering patient in a registry and tracking patient follow-up and progress using the registry, with appropriate documentation, and participation in weekly caseload consultation with the psychiatric consultant, and provision of brief interventions using evidence-based techniques such as behavioral activation, motivational interviewing, and other focused treatment strategies.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.95 / $110.05 / $387.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.44 / $111.74 / $187.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.41 / $163.10 / $339.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$413.61 / $483.34 / $741.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.69 / $263.48 / $434.03
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.48 / $124.10 / $194.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.43 / $121.76 / $202.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.64 / $415.79 / $951.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.30 / $117.90 / $269.03
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.48 / $124.10 / $194.63
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.31 / $214.49 / $403.74
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.14 / $178.14 / $178.14
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.82 / $578.25 / $951.45
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.39 / $193.18 / $318.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.80 / $305.44 / $404.36