Care management for one complex chronic condition

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

PR PRIN CARE MGMT MD/APP 1ST 30

Payers reporting CPT 99424

Payer pricing summary

Low

Average

$218

Median

$120

High

$3.5k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Blue Cross Blue Shield fee schedule · outpatient · +17 other terms	115	$246	$271	$106	39%	—	$0 – $544
2	Aetna fee schedule · outpatient · +19 other terms	93	$78	$474	$1.4k	302%	—	$43 – $8.4k
3	Humana fee schedule · outpatient · +15 other terms	84	$79	$115	$65	56%	—	$60 – $272
4	UnitedHealthcare fee schedule · outpatient · +23 other terms	84	$81	$95	$40	42%	—	$9 – $205
5	Anthem fee schedule · outpatient · +13 other terms	64	$77	$160	$208	130%	—	$22 – $900
6	Cigna fee schedule · outpatient · +18 other terms	44	$82	$106	$38	36%	—	$63 – $243
7	Bcbs Tx fee schedule · outpatient	30	$313	$287	$105	37%	—	$92 – $528
8	Kaiser fee schedule · outpatient · +10 other terms	27	$82	$88	$28	32%	—	$65 – $158
9	Regence professional · fee schedule · outpatient · +5 other terms	26	$75	$126	$62	49%	—	$72 – $252
10	Molina facility · fee schedule · outpatient · +16 other terms	25	$73	$72	$29	40%	—	$14 – $173
11	Devoted fee schedule · outpatient · +4 other terms	21	$82	$78	$5	7%	—	$72 – $82
12	Medicare fee schedule · outpatient · +6 other terms	19	$72	$70	$2	3%	—	$65 – $73
13	WellCare fee schedule · both · +10 other terms	19	$69	$82	$17	21%	—	$57 – $135
14	Highmark fee schedule · outpatient · +7 other terms	14	$91	$95	$25	27%	—	$63 – $283
15	Medica fee schedule · outpatient · +9 other terms	13	$247	$235	$82	35%	—	$62 – $330
16	Wellmark fee schedule · both · +3 other terms	13	$97	$96	$16	16%	—	$70 – $106
17	Aetna Better Health fee schedule · outpatient · +5 other terms	12	$61	$68	$8	11%	—	$61 – $77
18	Cigna Healthspring fee schedule · both · +2 other terms	12	$69	$70	$1	1%	—	$69 – $73
19	Ambetter facility · fee schedule · outpatient · +8 other terms	11	$152	$139	$23	17%	—	$81 – $152
20	Caresource facility · fee schedule · outpatient · +9 other terms	11	$152	$134	$35	26%	—	$68 – $169
21	MultiPlan fee schedule · both · +10 other terms	11	$138	$152	$40	26%	—	$116 – $254
22	Medical Mutual facility · fee schedule · outpatient · +6 other terms	10	$84	$104	$22	21%	—	$84 – $133
23	Optum fee schedule · outpatient · +7 other terms	10	$72	$72	$0	1%	—	$72 – $73
24	Oscar fee schedule · outpatient · +6 other terms	10	$60	$67	$60	90%	—	$1 – $149
25	Bcbs Il professional · fee schedule · both · +1 other terms	9	$59	$61	$43	70%	—	$0 – $158

Page 1 of 2 · 50 payers