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Nationwide rates for HCPCS G2064

Comprehensive care management services for a single high risk disease, e.g., principal care management, at least 30 minutes of physician or other qualified health care professional time per calendar month with the following elements: one complex chronic condition lasting at least 3 months, which is the focus of the care plan, the condition is of sufficient severity to place patient at risk of hospitalization or have been the cause of a recent hospitalization, the condition requires development 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

Insurance Carrier
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.84 / $84.84 / $87.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.48 / $284.30 / $567.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.05 / $95.82 / $120.49

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