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Tennessee 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 / $123.03 / $134.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $70.79 / $89.13
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $79.43 / $107.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $83.18 / $131.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $104.71 / $144.54
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $467.74 / $467.74
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $512.86 / $512.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $87.10 / $144.54