go back

Washington rates for HCPCS 99495

Transj Care Mgmt Mod Mdm F2f 14 Cal D Discharge

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.00 / $256.26 / $432.98
Aetna
Facility/Professional
Facility
Modifier
25
Low / Median / High Price
$121.00 / $121.00 / $121.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.09 / $168.96 / $361.33
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$50.18 / $240.52 / $601.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.54 / $235.20 / $322.32
Ambetter
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$212.73 / $212.73 / $212.73
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.20 / $374.61 / $716.59
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.34 / $325.32 / $887.76
Asuris Northwest Health
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$126.79 / $190.03 / $306.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.88 / $273.97 / $458.41
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.72 / $172.94 / $326.05
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.20 / $163.63 / $305.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.81 / $291.11 / $512.39
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$209.04 / $341.55 / $416.07
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.20 / $273.61 / $273.61
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.64 / $327.56 / $488.98
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.92 / $374.61 / $716.59
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.44 / $276.63 / $452.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.80 / $265.10 / $514.80
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.34 / $171.72 / $227.52