go back

Additional Time For Mental Health Care Coordination

Wisconsin 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 $50 · 10th–90th $34$1020%10%10th90th$50Professionalmedian $51 · 10th–90th $30$1120%5%10%10th90th$51$20.0$50.0$100.0$200.0$500.0$1.0K

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
$28.84
Median
$48.98
Typical High
$107.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$48.98
Typical High
$85.11
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$83.18
Typical High
$158.49
CareSource
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$38.02
Typical High
$56.23
CareSource
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$67.61
Typical High
$125.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$213.80
Typical High
$316.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$107.15
Typical High
$169.82
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$50.12
Typical High
$81.28
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$102.33
Typical High
$147.91
Medica
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$50.12
Typical High
$81.28
Medica
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$138.04
Typical High
$398.11
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$70.79
Network Health
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$58.88
Typical High
$128.82
Quartz
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$81.28
Typical High
$144.54
Quartz
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$257.04
Quartz
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$302.00
Typical High
$398.11
Security Health
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$74.13
Security Health
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$85.11
Typical High
$123.03
United
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$89.13
Typical High
$162.18