Tynbil: Know the *real* price for healthcare services

Hawaii 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 Professional Modifier Low / Median / High Price $41.47 / $48.83 / $71.36	Professional	$41.47	$48.83	$71.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.51 / $77.09 / $126.59	Professional	$55.51	$77.09	$126.59
HMSA Facility/Professional Professional Modifier Low / Median / High Price $91.34 / $91.34 / $91.34	Professional	$91.34	$91.34	$91.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $61.68 / $74.02	Professional	$41.69	$61.68	$74.02
United Facility/Professional Professional Modifier Low / Median / High Price $62.91 / $79.13 / $98.12	Professional	$62.91	$79.13	$98.12
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $53.49 / $53.49 / $53.49	Professional	$53.49	$53.49	$53.49