Tynbil: Know the *real* price for healthcare services

Utah 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 $76.63 / $76.63 / $84.31	Facility	$76.63	$76.63	$84.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.93 / $73.25 / $89.39	Professional	$58.93	$73.25	$89.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.69 / $101.80 / $131.44	Professional	$90.69	$101.80	$131.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.51 / $60.00 / $69.09	Professional	$48.51	$60.00	$69.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $76.23 / $95.06 / $120.10	Professional	$76.23	$95.06	$120.10
United Facility/Professional Professional Modifier Low / Median / High Price $70.17 / $93.99 / $144.60	Professional	$70.17	$93.99	$144.60