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Nevada 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

Facilitymedian $148 · 10th–90th $123–$1780%20%40%10th90th$148Professionalmedian $162 · 10th–90th $107–$4370%10%10th90th$162$2.0$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$123.03 / $131.83 / $177.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $162.18 / $380.19
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$81.28 / $302.00 / $1,174.90
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $199.53 / $416.87
Ambetter
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$186.21 / $186.21 / $186.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $165.96 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $177.83 / $263.03
Hometown Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.51 / $173.78 / $281.84
Hometown Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.51 / $181.97 / $331.13
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $218.78 / $275.42
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$147.91 / $147.91 / $147.91
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $177.83 / $281.84