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 $59.70 / $70.63 / $90.05	Professional	$59.70	$70.63	$90.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.28 / $104.55 / $174.98	Professional	$75.28	$104.55	$174.98
HMSA Facility/Professional Professional Modifier Low / Median / High Price $126.32 / $126.32 / $126.32	Professional	$126.32	$126.32	$126.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.73 / $88.33 / $100.37	Professional	$60.73	$88.33	$100.37
United Facility/Professional Professional Modifier Low / Median / High Price $85.31 / $109.61 / $135.71	Professional	$85.31	$109.61	$135.71
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $73.98 / $73.98 / $73.98	Professional	$73.98	$73.98	$73.98