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 Professional Modifier Low / Median / High Price $28.18 / $37.15 / $53.70	Professional	$28.18	$37.15	$53.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $51.29 / $75.86	Professional	$19.95	$51.29	$75.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $169.82 / $229.09	Facility	$141.25	$169.82	$229.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $35.48 / $51.29	Professional	$23.44	$35.48	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $44.67 / $66.07	Professional	$30.20	$44.67	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $40.74 / $57.54	Professional	$28.18	$40.74	$57.54