Tynbil: Know the *real* price for healthcare services

Delaware 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 Professional Modifier Low / Median / High Price $59.70 / $70.13 / $79.65	Professional	$59.70	$70.13	$79.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.84 / $92.01 / $123.40	Professional	$80.84	$92.01	$123.40
United Facility/Professional Professional Modifier Low / Median / High Price $70.42 / $88.02 / $238.01	Professional	$70.42	$88.02	$238.01