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Kentucky 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
$28.16 / $37.35 / $53.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.16 / $36.75 / $49.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.47 / $29.93 / $39.90
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.00 / $37.79 / $46.94
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.00 / $41.18 / $65.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.43 / $47.43 / $47.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.04 / $47.55 / $93.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.25 / $32.34 / $50.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.02 / $51.84 / $76.77