Tynbil: Know the *real* price for healthcare services

Nationwide rates for HCPCS 99424

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; first 30 minutes provided personally by a physician or other qualified health care professional, per calendar month.

Insurance Carrier	Facility/Professional	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.11 / $73.45 / $91.82	Facility	$71.11	$73.45	$91.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.50 / $73.25 / $88.82	Professional	$60.50	$73.25	$88.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.42 / $68.22 / $179.67	Facility	$56.42	$68.22	$179.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.26 / $79.64 / $127.37	Professional	$62.26	$79.64	$127.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.90 / $107.90 / $127.30	Facility	$107.90	$107.90	$127.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.66 / $101.06 / $155.63	Professional	$74.66	$101.06	$155.63
United Facility/Professional Professional Modifier Low / Median / High Price $77.39 / $102.56 / $161.47	Professional	$77.39	$102.56	$161.47

Nationwide rates for HCPCS 99424

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