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Nebraska 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 / $134.90 / $181.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $72.44 / $83.18
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $75.86 / $204.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $125.89 / $245.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $117.49 / $158.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $162.18 / $194.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $81.28 / $134.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $158.49 / $512.86
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $154.88 / $194.98
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $165.96 / $186.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $147.91 / $199.53