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HCPCS 99606

Medication therapy management services provided to an established patient by a pharmacist, 15 minutes

Reported by 2 hospitals in the network under the case rate methodology.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.

National pricing summary

Low

$18

Average

$41

Median

$41

High

$64

Hospitals reporting this code

#HospitalLocation
1Glendale Adventist Medical CenterGlendale, CA$10$18$18$85$1
2St Helena HospitalHelena, CA$40$66$64$90$3

Look up this code directly

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