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Minnesota 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
$73.08 / $81.18 / $81.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.00 / $73.78 / $82.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.52 / $137.37 / $382.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.41 / $154.00 / $230.06
BCBS
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$85.03 / $124.86 / $179.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.72 / $289.05 / $695.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.62 / $219.65 / $349.25
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.49 / $264.26 / $547.53
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.60 / $204.30 / $291.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.20 / $100.03 / $163.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.31 / $181.63 / $462.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.68 / $160.78 / $269.58