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Alaska rates for HCPCS 99424

Principal care management services, for a single high-risk disease, with the following required elements: one complex chronic condition expected to last at least 3 months, and that places the patient at significant risk of hospitalization, acute exacerbation/decompensation, functional decline, or death, the condition requires development, monitoring, or revision of disease-specific care plan, the condition requires frequent adjustments in the medication regimen and/or the management of the condition is unusually complex due to comorbidities, ongoing communication and care coordination between relevant practitioners furnishing care; first 30 minutes provided personally by a physician or other qualified health care professional, per calendar month.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.11 / $203.11 / $220.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.75 / $79.65 / $148.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.28 / $220.53 / $288.95
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.25 / $90.05 / $207.61
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.59 / $231.37 / $287.19
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.62 / $180.94 / $253.05
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.75 / $94.65 / $207.61
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.40 / $180.75 / $301.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.86 / $231.16 / $290.92