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South 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
$47.86 / $229.09 / $707.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $245.47 / $478.63
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$199.53 / $269.15 / $512.86
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $263.03 / $363.08
Ambetter
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$223.87 / $263.03 / $331.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $263.03 / $512.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $263.03 / $398.11
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $213.80 / $295.12
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $134.90 / $134.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $645.65 / $851.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $234.42 / $363.08