Tynbil: Know the *real* price for healthcare services

Hawaii 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 / $64.57	Professional	$39.81	$50.12	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $70.79 / $134.90	Professional	$58.88	$70.79	$134.90
HMSA Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional	$95.50	$95.50	$95.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $64.57 / $89.13	Professional	$39.81	$64.57	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $74.13 / $93.33	Professional	$54.95	$74.13	$93.33
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $75.86 / $77.62	Professional	$56.23	$75.86	$77.62