Tynbil: Know the *real* price for healthcare services

Missouri rates for HCPCS 99426

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; first 30 minutes of clinical staff time directed by physician or other qualified health care professional, per calendar month.

Insurance Carrier	Facility/Professional	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.90 / $55.19 / $88.52	Facility	$35.90	$55.19	$88.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.52 / $51.27 / $68.42	Professional	$40.52	$51.27	$68.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.43 / $58.10 / $90.15	Professional	$43.43	$58.10	$90.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.29 / $73.83 / $104.95	Professional	$48.29	$73.83	$104.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.33 / $53.51 / $103.52	Facility	$38.33	$53.51	$103.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.13 / $82.42 / $389.46	Professional	$56.13	$82.42	$389.46
United Facility/Professional Professional Modifier Low / Median / High Price $54.46 / $75.95 / $107.10	Professional	$54.46	$75.95	$107.10