Tynbil: Know the *real* price for healthcare services

Washington, DC 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 $70.79 / $70.79 / $79.43	Facility	$70.79	$70.79	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $72.44 / $89.13	Professional	$61.66	$72.44	$89.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $77.62 / $83.18	Professional	$72.44	$77.62	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $79.43 / $165.96	Professional	$61.66	$79.43	$165.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $72.44 / $186.21	Professional	$56.23	$72.44	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $95.50 / $173.78	Professional	$64.57	$95.50	$173.78