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 $71.37 / $71.37 / $79.65	Facility	$71.37	$71.37	$79.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.16 / $75.23 / $88.82	Professional	$65.16	$75.23	$88.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $73.09 / $76.95 / $85.93	Professional	$73.09	$76.95	$85.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.33 / $81.52 / $183.37	Professional	$61.33	$81.52	$183.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.48 / $71.98 / $186.60	Professional	$58.48	$71.98	$186.60
United Facility/Professional Professional Modifier Low / Median / High Price $76.48 / $171.45 / $196.98	Professional	$76.48	$171.45	$196.98