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Nationwide rates for HCPCS 99496

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, High level of medical decision making during the service period, Face-to-face visit, within 7 calendar days of discharge

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $229.09 / $457.09
Aetna
Facility/Professional
Facility
Modifier
25
Low / Median / High Price
$97.72 / $199.53 / $331.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $234.42 / $489.78
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$208.93 / $309.03 / $724.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $288.40 / $676.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $234.42 / $426.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $331.13 / $2,089.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $309.03 / $645.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $251.19 / $436.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $251.19 / $426.58