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Additional Time For Mental Health Care Coordination

South Dakota rates for HCPCS 99494

This service covers additional time spent by a care team coordinating a patient's mental health treatment together with a primary care provider and a consulting mental health specialist. It is billed in addition to the main monthly care coordination service, covering extra time beyond what that service already includes.

Facilitymedian $37 · 10th–90th $25$680%10%10th90th$37Professionalmedian $45 · 10th–90th $29$710%5%10%10th90th$45$20.0$50.0$100.0$200.0

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
Aetna
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$30.20
Typical High
$43.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$43.65
Typical High
$70.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$91.20
Typical High
$131.83
Medica
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$50.12
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$257.04
Typical High
$398.11
Midlands
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$83.18
Typical High
$125.89
Midlands
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$95.50
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$69.18
Typical High
$107.15
United
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$83.18
Typical High
$125.89
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$58.88
Typical High
$85.11