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Connecticut 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
$132.35 / $156.75 / $199.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.99 / $149.58 / $269.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.62 / $237.94 / $367.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.70 / $235.69 / $313.66
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.05 / $207.86 / $262.66
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$625.00 / $625.00 / $655.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.39 / $231.00 / $350.87