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Massachusetts 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
$151.36 / $436.52 / $812.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $251.19 / $660.69
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$229.09 / $363.08 / $851.14
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $389.05 / $1,202.26
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $309.03 / $758.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $213.80 / $489.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $257.04 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $363.08 / $630.96
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $269.15 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $338.84 / $524.81
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $323.59 / $616.60
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $371.54 / $478.63
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $389.05 / $1,202.26
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $309.03 / $758.58
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $446.68 / $446.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $288.40 / $501.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $323.59 / $707.95