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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
$74.08 / $81.56 / $92.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.09 / $72.17 / $81.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.75 / $1.01 / $1.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.10 / $0.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$700.00 / $700.00 / $700.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.50 / $100.20 / $127.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.97 / $72.44 / $88.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.98 / $108.37 / $512.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.63 / $99.34 / $139.06