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New York 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
$118.70 / $213.91 / $503.80
Aetna
Facility/Professional
Facility
Modifier
25
Low / Median / High Price
$327.67 / $327.67 / $519.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.44 / $227.71 / $455.66
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$231.39 / $463.84 / $772.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.97 / $197.77 / $419.26
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$276.43 / $276.43 / $276.43
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.43 / $276.43 / $391.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.50 / $252.50 / $252.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.83 / $288.37 / $602.45
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.00 / $231.01 / $467.75
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.19 / $442.41 / $670.32
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.71 / $263.33 / $263.33
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.86 / $275.45 / $481.66
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.75 / $553.82 / $663.30
Highmark BCBS
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$563.79 / $651.55 / $663.30
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.50 / $252.50 / $74,999.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.47 / $333.58 / $624.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.53 / $276.51 / $562.42
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.18 / $263.33 / $324.07
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.61 / $314.60 / $511.11