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 | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $63.23 | $76.95 | $92.01 | |
BCBS
| Facility | $95.02 | $172.97 | $989.52 | |
BCBS
| Professional | $68.65 | $84.58 | $128.36 | |
Cigna
| Professional | $70.31 | $108.84 | $172.61 | |
United
| Professional | $86.98 | $107.66 | $143.55 |