Tynbil: Know the *real* price for healthcare services

Connecticut rates for HCPCS 99425

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; each additional 30 minutes provided personally by a physician or other qualified health care professional, per calendar month (List separately in addition to code for primary procedure)

Insurance Carrier	Facility/Professional	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.89 / $61.89 / $71.36	Facility	$61.89	$61.89	$71.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.30 / $51.20 / $71.36	Professional	$42.30	$51.20	$71.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.78 / $74.17 / $101.05	Professional	$50.78	$74.17	$101.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.44 / $82.23 / $101.77	Professional	$66.44	$82.23	$101.77
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $51.27 / $51.27 / $51.27	Professional	$51.27	$51.27	$51.27
United Facility/Professional Professional Modifier Low / Median / High Price $58.78 / $82.05 / $106.83	Professional	$58.78	$82.05	$106.83