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Arkansas 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
$172.62 / $244.34 / $298.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.27 / $200.05 / $254.67
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$254.22 / $254.22 / $260.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.02 / $232.02 / $298.97
Ambetter
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$220.00 / $290.10 / $290.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.15 / $235.51 / $343.94
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.78 / $137.44 / $163.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.05 / $262.02 / $323.69
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.82 / $266.82 / $343.82
Qualchoice
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$253.00 / $333.62 / $333.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.31 / $253.92 / $382.72