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Kansas rates for HCPCS 99425

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; each additional 30 minutes provided personally by a physician or other qualified health care professional, per calendar month (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.18 / $57.90 / $66.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.56 / $50.38 / $58.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.75 / $1.01 / $1.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.10 / $0.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.86 / $72.27 / $91.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.19 / $51.47 / $61.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.80 / $78.18 / $369.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.92 / $69.08 / $94.90