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Virginia 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
$120.40 / $179.74 / $414.96
Aetna
Facility/Professional
Facility
Modifier
25
Low / Median / High Price
$276.75 / $276.75 / $276.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.27 / $217.67 / $342.15
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$150.27 / $246.91 / $554.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.16 / $238.29 / $348.14
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.99 / $178.99 / $252.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.50 / $252.50 / $252.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.55 / $266.36 / $400.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.66 / $271.30 / $366.88
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156.30 / $227.51 / $333.76
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.00 / $318.00 / $493.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.78 / $231.84 / $697.67
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.22 / $297.04 / $1,043.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.07 / $300.89 / $501.89