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Texas 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
$151.90 / $217.47 / $303.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.90 / $209.80 / $291.20
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$210.64 / $294.05 / $473.40
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.58 / $236.80 / $280.20
Ambetter
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$179.06 / $264.33 / $280.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.75 / $287.51 / $564.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.04 / $194.74 / $273.80
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$256.08 / $256.08 / $256.08
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.01 / $264.33 / $350.35
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.71 / $108.71 / $262.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.28 / $247.16 / $390.40
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.90 / $217.47 / $303.99
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.06 / $299.95 / $436.29
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.83 / $219.83 / $328.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.90 / $217.47 / $301.64
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.06 / $251.17 / $395.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.42 / $247.94 / $376.11
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.72 / $264.33 / $369.99