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Oklahoma 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 $219 · 10th–90th $155–$2880%20%10th90th$219Professionalmedian $214 · 10th–90th $151–$2750%10%10th90th$214$100.0$200.0$500.0$1.0K

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
$154.88 / $154.88 / $218.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $199.53 / $269.15
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$269.15 / $269.15 / $269.15
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $281.84 / $338.84
Ambetter
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$316.23 / $316.23 / $316.23
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $257.04 / $295.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $281.84 / $371.54
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$154.88 / $218.78 / $323.59
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $269.15 / $1,737.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58.88 / $239.88 / $346.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $218.78 / $316.23