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Nevada 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
$56.91 / $58.45 / $64.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.98 / $71.37 / $84.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.37 / $71.41 / $94.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.99 / $86.21 / $138.43
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.06 / $83.46 / $113.01
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.20 / $64.20 / $130.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.98 / $101.21 / $163.89