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Arizona 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
Professional
Modifier
Low / Median / High Price
$28.86 / $38.20 / $52.10
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.18 / $42.18 / $42.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.97 / $149.26 / $261.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.39 / $30.02 / $46.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.17 / $46.04 / $75.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.17 / $40.11 / $77.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.80 / $63.00 / $298.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.40 / $50.40 / $92.66