Tynbil: Know the *real* price for healthcare services

West Virginia 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 Facility Modifier Low / Median / High Price $70.79 / $70.79 / $77.62	Facility	$70.79	$70.79	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $72.44 / $81.28	Professional	$57.54	$72.44	$81.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $95.50	Facility	$79.43	$79.43	$95.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional	$85.11	$85.11	$85.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility	$114.82	$114.82	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $109.65 / $389.05	Professional	$69.18	$109.65	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $91.20 / $138.04	Professional	$63.10	$91.20	$138.04