Tynbil: Know the *real* price for healthcare services

North Dakota 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 $73.47 / $73.47 / $81.43	Facility	$73.47	$73.47	$81.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.45 / $73.78 / $98.71	Professional	$65.45	$73.78	$98.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.59 / $156.11 / $189.23	Professional	$126.59	$156.11	$189.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.10 / $185.36 / $246.79	Professional	$126.10	$185.36	$246.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $62.45 / $81.18 / $124.90	Facility	$62.45	$81.18	$124.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $93.36 / $169.74 / $512.83	Professional	$93.36	$169.74	$512.83
United Facility/Professional Professional Modifier Low / Median / High Price $86.98 / $152.77 / $211.95	Professional	$86.98	$152.77	$211.95