Tynbil: Know the *real* price for healthcare services

Utah 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 $53.35 / $53.35 / $60.70	Facility	$53.35	$53.35	$60.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.06 / $51.00 / $62.00	Professional	$41.06	$51.00	$62.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.64 / $73.34 / $95.21	Professional	$64.64	$73.34	$95.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.51 / $58.17 / $68.44	Professional	$48.51	$58.17	$68.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $52.78 / $68.98 / $86.47	Professional	$52.78	$68.98	$86.47
United Facility/Professional Professional Modifier Low / Median / High Price $50.46 / $67.86 / $100.48	Professional	$50.46	$67.86	$100.48