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Arkansas 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
$78.68 / $86.24 / $112.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.75 / $72.97 / $86.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.84 / $115.95 / $127.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.16 / $94.07 / $120.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.17 / $95.54 / $120.59