Tynbil: Know the *real* price for healthcare services

Montana 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 $39.27 / $54.64 / $76.31	Professional	$39.27	$54.64	$76.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.29 / $77.29 / $97.80	Professional	$77.29	$77.29	$97.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.29 / $77.29 / $116.25	Facility	$77.29	$77.29	$116.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.70 / $83.13 / $149.35	Professional	$65.70	$83.13	$149.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.38 / $61.74 / $97.80	Facility	$40.38	$61.74	$97.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.17 / $74.23 / $107.27	Professional	$51.17	$74.23	$107.27
United Facility/Professional Professional Modifier Low / Median / High Price $86.00 / $106.14 / $150.05	Professional	$86.00	$106.14	$150.05