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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
$57.06 / $62.74 / $135.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.93 / $70.86 / $81.87
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.56 / $75.56 / $75.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.93 / $74.66 / $131.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.69 / $106.10 / $155.63
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$337.57 / $365.94 / $365.94
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$462.92 / $512.83 / $512.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.39 / $93.85 / $188.81