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West Virginia 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
$112.39 / $167.32 / $359.08
Aetna
Facility/Professional
Facility
Modifier
25
Low / Median / High Price
$284.82 / $285.76 / $359.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.78 / $199.34 / $417.23
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$195.24 / $353.48 / $421.27
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.03 / $130.71 / $196.07
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.05 / $310.91 / $436.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.75 / $185.75 / $185.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.76 / $199.59 / $647.04
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.91 / $165.55 / $464.10
Highmark BCBS
Facility/Professional
Facility
Modifier
25
Low / Median / High Price
$228.75 / $382.00 / $541.66
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.78 / $152.83 / $200.51
Highmark BCBS
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$229.05 / $229.05 / $229.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.87 / $216.05 / $305.30