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Tennessee 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
$149.79 / $224.68 / $395.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.79 / $214.88 / $352.08
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$231.39 / $300.00 / $772.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.19 / $216.19 / $254.34
Ambetter
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$216.19 / $216.19 / $281.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.55 / $227.69 / $376.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.82 / $264.76 / $416.98
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$853.77 / $927.58 / $927.58
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.95 / $1,741.13 / $1,741.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.71 / $247.94 / $479.08