Tynbil: Know the *real* price for healthcare services

Delaware 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 $116.93 / $134.12 / $975.50	Facility	$116.93	$134.12	$975.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.06 / $47.75 / $57.26	Professional	$41.06	$47.75	$57.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.25 / $66.69 / $89.20	Professional	$55.25	$66.69	$89.20
United Facility/Professional Professional Modifier Low / Median / High Price $50.86 / $63.58 / $171.92	Professional	$50.86	$63.58	$171.92