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Texas rates for HCPCS 99494

Initial or subsequent psychiatric collaborative care management, each additional 30 minutes in a 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 (List separately in addition to code for primary procedure)

Facilitymedian $58 · 10th–90th $34–$910%10%10th90th$58Professionalmedian $49 · 10th–90th $31–$790%10%10th90th$49$10.0$20.0$50.0$100.0$200.0$500.0

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $89.13 / $93.33
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $51.29 / $87.10
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $60.26 / $89.13
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $41.69 / $56.23
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $245.47 / $245.47
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $61.66 / $107.15
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$257.04 / $257.04 / $257.04
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $398.11 / $398.11
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $54.95 / $85.11
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $51.29 / $75.86
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $33.11
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $109.65 / $162.18
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $54.95 / $85.11
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $61.66 / $107.15
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$87.10 / $87.10 / $87.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $57.54 / $95.50
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $61.66 / $74.13