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Minnesota 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
$34.36 / $47.41 / $47.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.46 / $38.29 / $51.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.36 / $65.30 / $178.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.60 / $81.69 / $126.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.70 / $168.42 / $405.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.86 / $132.96 / $217.93
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.51 / $153.97 / $319.01
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.36 / $124.39 / $181.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.63 / $54.30 / $100.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.84 / $106.04 / $218.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.72 / $93.92 / $162.91