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Nationwide rates for HCPCS 99493

Subsequent psychiatric collaborative care management, first 60 minutes in a subsequent 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: tracking patient follow-up and progress using the registry, with appropriate documentation, participation in weekly caseload consultation with the psychiatric consultant, ongoing collaboration with and coordination of the patient's mental health care with the treating physician or other qualified health care professional and any other treating mental health providers, additional review of progress and recommendations for changes in treatment, as indicated, including medications, based on recommendations provided by the psychiatric consultant, provision of brief interventions using evidence-based techniques such as behavioral activation, motivational interviewing, and other focused treatment strategies, monitoring of patient outcomes using validated rating scales, and relapse prevention planning with patients as they achieve remission of symptoms and/or other treatment goals and are prepared for discharge from active treatment.

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier Typical Low / Median / Typical High $69.18 / $104.71 / $234.42	Facility		$69.18	$104.71	$234.42
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $107.15 / $186.21	Professional		$72.44	$107.15	$186.21
Aetna Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $173.78 / $338.84 / $407.38	Professional	25	$173.78	$338.84	$407.38
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $165.96 / $177.83 / $177.83	Facility		$165.96	$177.83	$177.83
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $120.23 / $245.47	Professional		$77.62	$120.23	$245.47
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $158.49 / $158.49 / $575.44	Facility		$158.49	$158.49	$575.44
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $154.88 / $316.23	Professional		$93.33	$154.88	$316.23
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $107.15 / $141.25 / $208.93	Facility		$107.15	$141.25	$208.93
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $125.89 / $239.88	Professional		$74.13	$125.89	$239.88

Nationwide rates for HCPCS 99493

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