Tynbil: Know the *real* price for healthcare services

Alabama 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 $65.45 / $65.45 / $71.81	Facility	$65.45	$65.45	$71.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.45 / $68.26 / $82.16	Professional	$58.45	$68.26	$82.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $137.94 / $167.40 / $225.21	Facility	$137.94	$167.40	$225.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.09 / $72.73 / $85.82	Professional	$53.09	$72.73	$85.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.33 / $79.56 / $115.44	Professional	$58.33	$79.56	$115.44
United Facility/Professional Professional Modifier Low / Median / High Price $65.23 / $78.28 / $113.27	Professional	$65.23	$78.28	$113.27