Tynbil: Know the *real* price for healthcare services

Oklahoma 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 $62.00 / $62.00 / $68.03	Facility	$62.00	$62.00	$68.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.45 / $68.03 / $81.88	Professional	$58.45	$68.03	$81.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.80 / $80.15 / $110.06	Professional	$72.80	$80.15	$110.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.07 / $92.92 / $118.47	Professional	$58.07	$92.92	$118.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.72 / $70.63 / $110.47	Facility	$60.72	$70.63	$110.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $69.58 / $95.33 / $462.92	Professional	$69.58	$95.33	$462.92
United Facility/Professional Professional Modifier Low / Median / High Price $69.58 / $91.58 / $118.09	Professional	$69.58	$91.58	$118.09