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Alaska 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

Facilitymedian $214 · 10th–90th $151–$4270%10%10th90th$214Professionalmedian $229 · 10th–90th $151–$5620%10%10th90th$229$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$147.91 / $147.91 / $758.58
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$331.13 / $331.13 / $331.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $218.78 / $512.86
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$251.19 / $537.03 / $758.58
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $524.81 / $794.33
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $213.80 / $426.58
Moda Health
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$331.13 / $331.13 / $331.13
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $489.78 / $912.01
Moda Health
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$251.19 / $537.03 / $758.58
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $478.63 / $691.83
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $213.80 / $380.19
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $263.03 / $588.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $363.08 / $707.95