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Idaho 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
$60.26 / $72.44 / $102.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $239.88 / $281.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $147.91 / $169.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $114.82 / $158.49
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $87.10 / $147.91
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $112.20 / $158.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $112.20 / $134.90
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $83.18 / $134.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $107.15 / $147.91