Tynbil: Know the *real* price for healthcare services

Louisiana 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 $51.36 / $58.14 / $73.56	Facility	$51.36	$58.14	$73.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.30 / $51.00 / $61.05	Professional	$42.30	$51.00	$61.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.03 / $0.03	Facility	$0.02	$0.03	$0.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $43.25 / $43.65 / $58.69	Facility	$43.25	$43.65	$58.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.15 / $54.99 / $92.29	Professional	$42.15	$54.99	$92.29
United Facility/Professional Professional Modifier Low / Median / High Price $53.29 / $72.77 / $104.77	Professional	$53.29	$72.77	$104.77