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Nationwide rates for HCPCS 99495

Transitional care management services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge, At least moderate level of medical decision making during the service period, Face-to-face visit, within 14 calendar days of discharge

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $165.96 / $354.81
Aetna
Facility/Professional
Facility
Modifier
25
Low / Median / High Price
$56.23 / $288.40 / $562.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $169.82 / $380.19
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$147.91 / $239.88 / $562.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $199.53 / $501.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $165.96 / $309.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $234.42 / $1,548.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $223.87 / $478.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $194.98 / $426.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $181.97 / $316.23