Tynbil: Know the *real* price for healthcare services

Connecticut 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 $87.10 / $87.10 / $97.72	Facility	$87.10	$87.10	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $72.44 / $91.20	Professional	$60.26	$72.44	$91.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $104.71 / $147.91	Professional	$66.07	$104.71	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $114.82 / $144.54	Professional	$95.50	$114.82	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $100.00 / $147.91	Professional	$74.13	$100.00	$147.91