go back

Oklahoma 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
$61.66 / $61.66 / $67.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $67.61 / $83.18
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $154.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $79.43 / $109.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $102.33 / $125.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $70.79 / $107.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $95.50 / $512.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $85.11 / $117.49