Tynbil: Know the *real* price for healthcare services

Wyoming 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 Professional Modifier Low / Median / High Price $40.85 / $52.16 / $71.70	Professional	$40.85	$52.16	$71.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.00 / $91.00 / $108.00	Professional	$74.00	$91.00	$108.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.93 / $82.48 / $142.31	Professional	$67.93	$82.48	$142.31
United Facility/Professional Professional Modifier Low / Median / High Price $82.42 / $107.89 / $172.07	Professional	$82.42	$107.89	$172.07