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Mississippi 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
$29.90 / $39.31 / $48.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.26 / $37.86 / $51.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.70 / $51.70 / $51.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.38 / $46.96 / $66.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.81 / $49.59 / $67.90