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Kansas 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
$75.86 / $83.18 / $83.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $70.79 / $85.11
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $83.18 / $114.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.76 / $0.95 / $1.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.06 / $0.09 / $0.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $707.95 / $707.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $100.00 / $138.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $72.44 / $93.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $123.03 / $512.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $97.72 / $128.82