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Colorado 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
$72.44 / $72.44 / $81.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $72.44 / $91.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $95.50 / $144.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $107.15 / $144.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $295.12 / $707.95
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $83.18 / $89.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $114.82 / $186.21