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Montana 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
$31.42 / $128.87 / $156.60
Aetna
Facility/Professional
Facility
Modifier
25
Low / Median / High Price
$183.21 / $183.21 / $183.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.98 / $162.82 / $416.09
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$149.58 / $224.10 / $578.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,999.99 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.73 / $218.73 / $326.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.73 / $218.73 / $388.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.46 / $229.05 / $384.31
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.71 / $180.43 / $291.55
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.51 / $216.63 / $326.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.40 / $301.61 / $375.34