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Kentucky 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
$164.56 / $221.70 / $284.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.75 / $214.88 / $379.76
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$52.52 / $316.98 / $853.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.31 / $281.22 / $360.61
Ambetter
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$250.00 / $254.50 / $254.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.03 / $185.79 / $263.02
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.51 / $173.48 / $245.49
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.11 / $254.50 / $356.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.50 / $252.50 / $252.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.97 / $247.92 / $421.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $226.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.73 / $253.93 / $374.00