go back

Florida 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
$89.98 / $129.36 / $288.00
Aetna
Facility/Professional
Facility
Modifier
25
Low / Median / High Price
$236.10 / $236.10 / $236.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.94 / $143.72 / $235.11
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$216.61 / $240.52 / $355.50
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.80 / $201.37 / $335.43
Ambetter
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$125.87 / $167.80 / $212.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.25 / $180.47 / $289.02
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.19 / $143.65 / $177.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.10 / $235.32 / $390.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.97 / $176.81 / $308.58
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.57 / $171.72 / $171.72