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Tennessee 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
$27.01 / $36.14 / $77.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.84 / $36.14 / $47.20
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.08 / $40.08 / $47.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.54 / $39.02 / $67.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.32 / $54.00 / $87.51
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.47 / $174.80 / $174.80
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.48 / $298.80 / $298.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $54.08 / $103.00