Tynbil: Know the *real* price for healthcare services

Mississippi 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 $43.86 / $49.57 / $61.26	Facility	$43.86	$49.57	$61.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.47 / $52.05 / $65.16	Professional	$41.47	$52.05	$65.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.04 / $64.87 / $64.87	Facility	$63.04	$64.87	$64.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.87 / $64.87 / $64.87	Professional	$64.87	$64.87	$64.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.13 / $62.62 / $83.54	Professional	$49.13	$62.62	$83.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional	$32.34	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $55.81 / $59.66 / $83.52	Professional	$55.81	$59.66	$83.52