Tynbil: Know the *real* price for healthcare services

Hawaii 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 $58.88 / $72.44 / $87.10	Professional	$58.88	$72.44	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $91.20 / $173.78	Professional	$75.86	$91.20	$173.78
HMSA Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional	$125.89	$125.89	$125.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $91.20 / $114.82	Professional	$58.88	$91.20	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $107.15 / $123.03	Professional	$75.86	$107.15	$123.03
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional	$74.13	$74.13	$74.13