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Colorado 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
$168.20 / $168.20 / $254.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.90 / $210.64 / $323.43
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$210.64 / $246.91 / $632.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.61 / $273.26 / $463.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.12 / $300.89 / $426.93
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.91 / $234.47 / $358.11
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.36 / $136.36 / $136.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.51 / $304.97 / $473.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.80 / $350.38 / $583.96