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New Mexico 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
$102.33 / $107.15 / $141.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $70.79 / $89.13
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $74.13 / $79.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $77.62 / $120.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $107.15 / $151.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $72.44 / $91.20
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $100.00 / $144.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $117.49 / $165.96