Tynbil: Know the *real* price for healthcare services

Missouri 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 $37.11 / $52.52 / $84.54	Facility	$37.11	$52.52	$84.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.25 / $48.93 / $60.70	Professional	$41.25	$48.93	$60.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.50 / $58.35 / $91.14	Professional	$44.50	$58.35	$91.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.86 / $73.56 / $106.54	Professional	$49.86	$73.56	$106.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.35 / $51.67 / $95.07	Facility	$39.35	$51.67	$95.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $53.38 / $78.50 / $369.98	Professional	$53.38	$78.50	$369.98
United Facility/Professional Professional Modifier Low / Median / High Price $51.93 / $72.11 / $103.75	Professional	$51.93	$72.11	$103.75