Tynbil: Know the *real* price for healthcare services

Alabama rates for HCPCS 99426

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 of clinical staff time directed by physician or other qualified health care professional, per calendar month.

Insurance Carrier	Facility/Professional	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $50.12 / $70.79	Professional	$39.81	$50.12	$70.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $75.86	Professional	$50.12	$64.57	$75.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $169.82 / $229.09	Facility	$141.25	$169.82	$229.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $53.70 / $66.07	Professional	$35.48	$53.70	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $63.10 / $87.10	Professional	$42.66	$63.10	$87.10
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $134.90 / $158.49	Facility	$114.82	$134.90	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $53.70 / $79.43	Professional	$39.81	$53.70	$79.43