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 $88.82 / $88.82 / $98.71	Facility	$88.82	$88.82	$98.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.86 / $73.31 / $98.71	Professional	$60.86	$73.31	$98.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.88 / $105.08 / $144.61	Professional	$73.88	$105.08	$144.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.16 / $116.33 / $145.74	Professional	$95.16	$116.33	$145.74
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $70.47 / $70.47 / $70.47	Professional	$70.47	$70.47	$70.47
United Facility/Professional Professional Modifier Low / Median / High Price $81.19 / $113.43 / $155.71	Professional	$81.19	$113.43	$155.71