Tynbil: Know the *real* price for healthcare services

Colorado 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 $49.88 / $49.88 / $60.10	Facility	$49.88	$49.88	$60.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.06 / $49.91 / $60.82	Professional	$41.06	$49.91	$60.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.14 / $65.23 / $100.83	Professional	$46.14	$65.23	$100.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.52 / $76.42 / $104.32	Professional	$62.52	$76.42	$104.32
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $44.89 / $58.62 / $83.78	Facility	$44.89	$58.62	$83.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $49.88 / $75.13 / $109.74	Professional	$49.88	$75.13	$109.74
United Facility/Professional Professional Modifier Low / Median / High Price $69.59 / $88.55 / $147.91	Professional	$69.59	$88.55	$147.91