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Alabama 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
Professional
Modifier
Low / Median / High Price
$58.88 / $70.79 / $89.13
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $79.43 / $154.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $169.82 / $229.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $79.43 / $87.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $87.10 / $114.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $75.86 / $109.65