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New Jersey 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
$127.00 / $199.49 / $305.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.09 / $200.05 / $289.24
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$214.25 / $463.84 / $463.84
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.36 / $311.36 / $311.36
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.27 / $303.44 / $684.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.81 / $276.94 / $447.76
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.21 / $418.21 / $418.21
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.85 / $301.75 / $597.51
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.40 / $258.12 / $398.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.41 / $247.19 / $470.82