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Colorado 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
$123.82 / $123.82 / $187.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.07 / $154.88 / $237.10
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$149.58 / $216.61 / $301.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.10 / $201.76 / $341.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.47 / $218.78 / $315.30
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.76 / $172.61 / $264.51
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.60 / $94.60 / $94.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.40 / $224.50 / $350.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.75 / $245.82 / $405.31