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Florida 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
$60.50 / $64.81 / $112.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.50 / $70.63 / $85.45
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.73 / $68.73 / $68.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.07 / $92.47 / $141.11
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.61 / $58.66 / $75.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.70 / $79.15 / $133.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.31 / $86.34 / $141.37
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.56 / $69.02 / $69.02