Tynbil: Know the *real* price for healthcare services

Oklahoma 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 $41.59 / $41.59 / $51.29	Facility	$41.59	$41.59	$51.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.27 / $49.13 / $62.24	Professional	$39.27	$49.13	$62.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.00 / $61.13 / $82.66	Professional	$49.00	$61.13	$82.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.90 / $67.40 / $89.13	Professional	$40.90	$67.40	$89.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $41.59 / $51.29 / $82.78	Facility	$41.59	$51.29	$82.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $52.83 / $71.84 / $309.19	Professional	$52.83	$71.84	$309.19
United Facility/Professional Professional Modifier Low / Median / High Price $52.83 / $69.54 / $89.67	Professional	$52.83	$69.54	$89.67