Tynbil: Know the *real* price for healthcare services

Rhode Island 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 $44.14 / $53.19 / $65.16	Professional	$44.14	$53.19	$65.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.39 / $125.72 / $989.52	Facility	$69.39	$125.72	$989.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.13 / $58.98 / $92.71	Professional	$49.13	$58.98	$92.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.01 / $74.91 / $124.68	Professional	$49.01	$74.91	$124.68
United Facility/Professional Professional Modifier Low / Median / High Price $58.32 / $83.27 / $103.68	Professional	$58.32	$83.27	$103.68