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 $61.66 / $74.13 / $107.15	Professional	$61.66	$74.13	$107.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $95.50 / $141.25	Professional	$64.57	$95.50	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $95.50 / $147.91	Professional	$57.54	$95.50	$147.91
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $93.33 / $162.18	Professional	$66.07	$93.33	$162.18
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $77.62 / $147.91	Professional	$64.57	$77.62	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $109.65 / $154.88	Professional	$77.62	$109.65	$154.88