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Alaska 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
$148.50 / $387.48 / $535.28
Aetna
Facility/Professional
Facility
Modifier
25
Low / Median / High Price
$233.49 / $233.49 / $233.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.30 / $162.82 / $335.68
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$381.88 / $390.94 / $400.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.22 / $418.87 / $600.50
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.75 / $190.07 / $396.68
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.47 / $495.28 / $653.90
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.34 / $323.64 / $514.08
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.90 / $235.11 / $434.46
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.05 / $323.64 / $556.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.75 / $520.67 / $604.60