Tynbil: Know the *real* price for healthcare services

Nationwide rates for HCPCS 99424

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 provided personally by a 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 $64.57 / $85.11 / $154.88	Facility	$64.57	$85.11	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $72.44 / $97.72	Professional	$58.88	$72.44	$97.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $74.13 / $186.21	Facility	$58.88	$74.13	$186.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $81.28 / $138.04	Professional	$53.70	$81.28	$138.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $263.03 / $724.44	Facility	$114.82	$263.03	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $107.15 / $199.53	Professional	$72.44	$107.15	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $87.10 / $120.23	Facility	$72.44	$87.10	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $95.50 / $158.49	Professional	$67.61	$95.50	$158.49

Nationwide rates for HCPCS 99424

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