Tynbil: Know the *real* price for healthcare services

Alabama rates for HCPCS 99425

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; each additional 30 minutes provided personally by a physician or other qualified health care professional, per calendar month (List separately in addition to code for primary procedure)

Insurance Carrier	Facility/Professional	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.61 / $45.61 / $51.69	Facility	$45.61	$45.61	$51.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.85 / $47.42 / $58.62	Professional	$40.85	$47.42	$58.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $137.94 / $167.40 / $225.21	Facility	$137.94	$167.40	$225.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $50.68 / $59.80	Professional	$37.00	$50.68	$59.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.54 / $56.33 / $82.50	Professional	$40.54	$56.33	$82.50
United Facility/Professional Professional Modifier Low / Median / High Price $47.07 / $56.52 / $81.78	Professional	$47.07	$56.52	$81.78