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Nationwide rates for HCPCS G2065

Comprehensive care management for a single high risk disease services, e.g., principal care management, at least 30 minutes of clinical staff time directed by a physician or other qualified health care professional, 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 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
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.99 / $122.48 / $244.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.28 / $41.28 / $51.91

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