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Alaska rates for HCPCS 99427

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 of clinical staff time directed 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
$97.72 / $97.72 / $128.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $38.02 / $53.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $97.72 / $162.18
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $41.69 / $95.50
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $100.00 / $173.78
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $97.72 / $134.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $38.90 / $72.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $66.07 / $125.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $120.23 / $151.36