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South Carolina 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
$34.61 / $34.61 / $46.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.46 / $38.71 / $51.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.16 / $122.53 / $206.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.50 / $49.75 / $73.97
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.93 / $43.15 / $65.79
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.81 / $51.81 / $51.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.95 / $71.34 / $87.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.95 / $52.27 / $75.80