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North Carolina 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
$116.57 / $192.09 / $785.58
Aetna
Facility/Professional
Facility
Modifier
25
Low / Median / High Price
$291.22 / $291.22 / $291.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.34 / $225.85 / $454.54
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$200.00 / $269.95 / $569.59
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.68 / $242.68 / $534.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.78 / $275.58 / $469.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.88 / $285.45 / $478.34
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.76 / $220.62 / $318.85
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.14 / $239.14 / $253.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.31 / $307.23 / $515.92
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$456.76 / $927.58 / $927.58
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.95 / $1,202.95 / $1,741.13