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Arizona 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
$131.00 / $131.00 / $272.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.40 / $229.78 / $456.15
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$75.01 / $296.08 / $823.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.59 / $254.59 / $254.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.76 / $577.84 / $1,012.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.47 / $162.18 / $250.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.02 / $231.20 / $375.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.75 / $217.57 / $401.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.97 / $309.26 / $1,741.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.97 / $245.41 / $454.67