Tynbil: Know the *real* price for healthcare services

Maine 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 $63.23 / $71.43 / $84.81	Professional	$63.23	$71.43	$84.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.88 / $90.69 / $136.97	Professional	$73.88	$90.69	$136.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.85 / $94.54 / $144.88	Professional	$63.85	$94.54	$144.88
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $76.80 / $92.84 / $139.50	Professional	$76.80	$92.84	$139.50
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $64.53 / $76.59 / $138.54	Professional	$64.53	$76.59	$138.54
United Facility/Professional Professional Modifier Low / Median / High Price $82.96 / $119.60 / $160.35	Professional	$82.96	$119.60	$160.35