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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
$208.93 / $208.93 / $229.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $72.44 / $91.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $204.17 / $288.40
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $72.44 / $169.82
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $208.93 / $288.40
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $208.93 / $245.47
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $74.13 / $151.36
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $104.71 / $263.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $229.09 / $288.40