Tynbil: Know the *real* price for healthcare services

Nevada 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 $39.77 / $40.85 / $46.63	Facility	$39.77	$40.85	$46.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.85 / $48.96 / $59.04	Professional	$40.85	$48.96	$59.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.22 / $50.45 / $68.56	Professional	$37.22	$50.45	$68.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.59 / $61.36 / $96.74	Professional	$42.59	$61.36	$96.74
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $40.21 / $58.57 / $79.42	Professional	$40.21	$58.57	$79.42
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $43.71 / $43.71 / $91.64	Professional	$43.71	$43.71	$91.64
United Facility/Professional Professional Modifier Low / Median / High Price $51.98 / $73.08 / $118.33	Professional	$51.98	$73.08	$118.33