Tynbil: Know the *real* price for healthcare services

North Dakota 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 $48.95 / $48.95 / $61.75	Facility	$48.95	$48.95	$61.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.59 / $54.64 / $75.23	Professional	$43.59	$54.64	$75.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.45 / $108.43 / $144.57	Professional	$83.45	$108.43	$144.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.08 / $135.22 / $188.55	Professional	$87.08	$135.22	$188.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $41.61 / $59.31 / $91.26	Facility	$41.61	$59.31	$91.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $70.81 / $128.76 / $389.46	Professional	$70.81	$128.76	$389.46
United Facility/Professional Professional Modifier Low / Median / High Price $66.04 / $118.44 / $160.75	Professional	$66.04	$118.44	$160.75