Tynbil: Know the *real* price for healthcare services

New Hampshire 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 $66.78 / $66.78 / $80.34	Facility	$66.78	$66.78	$80.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.64 / $54.64 / $64.50	Professional	$44.64	$54.64	$64.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.17 / $62.92 / $113.93	Professional	$49.17	$62.92	$113.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.31 / $84.18 / $134.99	Professional	$60.31	$84.18	$134.99
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $48.55 / $87.04 / $146.21	Professional	$48.55	$87.04	$146.21
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $97.30 / $171.46	Professional	$81.28	$97.30	$171.46
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $41.21 / $48.13 / $57.13	Professional	$41.21	$48.13	$57.13