Tynbil: Know the *real* price for healthcare services

Vermont 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 / $72.44 / $91.20	Professional	$61.66	$72.44	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $104.71 / $162.18	Professional	$75.86	$104.71	$162.18
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $186.21	Professional	$114.82	$114.82	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $120.23 / $239.88	Professional	$87.10	$120.23	$239.88