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New Hampshire 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
$97.82 / $97.82 / $110.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.66 / $80.54 / $90.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.13 / $90.69 / $156.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.33 / $120.56 / $191.35
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.44 / $125.65 / $205.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.11 / $134.84 / $221.06
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.17 / $69.11 / $79.03