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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
$59.15 / $59.15 / $65.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.15 / $70.63 / $90.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.67 / $72.79 / $123.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.28 / $104.67 / $145.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $128.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.15 / $70.84 / $92.38
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.16 / $102.36 / $145.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.63 / $125.32 / $169.61