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Minnesota 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

Facilitymedian $380 · 10th–90th $145–$1,9950%5%10%10th90th$380Professionalmedian $347 · 10th–90th $174–$7080%5%10th90th$347$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$120.23 / $173.78 / $263.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $245.47 / $616.60
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$257.04 / $316.23 / $776.25
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$158.49 / $436.52 / $1,258.93
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $446.68 / $776.25
BCBS
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$213.80 / $363.08 / $616.60
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $1,047.13 / $2,511.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $602.56 / $1,047.13
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$812.83 / $1,000.00 / $1,995.26
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $588.84 / $933.25
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$169.82 / $288.40 / $537.03
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $537.03 / $1,202.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $346.74 / $478.63
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $416.87 / $812.83