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Rhode Island 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
$333.08 / $333.08 / $333.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.63 / $164.48 / $300.00
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$216.61 / $216.61 / $240.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.48 / $321.73 / $932.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.16 / $175.73 / $239.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.82 / $248.85 / $384.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.54 / $219.21 / $311.14