Tynbil: Know the *real* price for healthcare services

Louisiana 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 $73.41 / $80.56 / $106.42	Facility	$73.41	$80.56	$106.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.86 / $73.25 / $85.32	Professional	$60.86	$73.25	$85.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.03 / $0.03	Facility	$0.02	$0.03	$0.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $64.11 / $83.70	Facility	$63.50	$64.11	$83.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.33 / $78.48 / $132.18	Professional	$60.33	$78.48	$132.18
United Facility/Professional Professional Modifier Low / Median / High Price $71.31 / $100.03 / $145.13	Professional	$71.31	$100.03	$145.13