Tynbil: Know the *real* price for healthcare services

Alabama rates for HCPCS 99427

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; each additional 30 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (List separately in addition to code for primary procedure)

Insurance Carrier	Facility/Professional	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.02 / $31.02 / $41.25	Facility	$31.02	$31.02	$41.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.84 / $36.96 / $47.10	Professional	$27.84	$36.96	$47.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $137.94 / $167.40 / $225.21	Facility	$137.94	$167.40	$225.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.67 / $33.93 / $46.48	Professional	$23.67	$33.93	$46.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.62 / $44.22 / $66.48	Professional	$27.62	$44.22	$66.48
United Facility/Professional Professional Modifier Low / Median / High Price $37.71 / $45.48 / $65.80	Professional	$37.71	$45.48	$65.80