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Ohio 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
$59.26 / $167.32 / $359.08
Aetna
Facility/Professional
Facility
Modifier
25
Low / Median / High Price
$56.71 / $284.82 / $359.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.77 / $162.06 / $335.68
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$114.85 / $237.11 / $421.27
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.16 / $179.48 / $297.54
Ambetter
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$163.16 / $163.16 / $167.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.58 / $152.81 / $249.16
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.22 / $128.38 / $170.25
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.05 / $206.48 / $316.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.82 / $177.01 / $268.37
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.83 / $158.99 / $320.52
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.82 / $183.07 / $286.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.82 / $206.62 / $305.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.52 / $202.36 / $314.27