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Vermont 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
Professional
Modifier
Low / Median / High Price
$115.27 / $162.57 / $199.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$491.39 / $491.39 / $530.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.47 / $214.62 / $328.22
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.47 / $214.62 / $364.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.05 / $261.08 / $606.75