Tynbil: Know the *real* price for healthcare services

Connecticut 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 Facility Modifier Low / Median / High Price $58.88 / $58.88 / $75.86	Facility	$58.88	$58.88	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $51.29 / $67.61	Professional	$39.81	$51.29	$67.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $72.44 / $109.65	Professional	$48.98	$72.44	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $81.28 / $104.71	Professional	$64.57	$81.28	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $70.79 / $107.15	Professional	$50.12	$70.79	$107.15