Tynbil: Know the *real* price for healthcare services

Arkansas 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 $37.28 / $49.43 / $64.26	Facility	$37.28	$49.43	$64.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.71 / $37.28 / $49.57	Professional	$29.71	$37.28	$49.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.79 / $53.79 / $53.79	Professional	$53.79	$53.79	$53.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.36 / $54.94 / $72.84	Professional	$37.36	$54.94	$72.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.03 / $46.40 / $66.16	Professional	$33.03	$46.40	$66.16
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $61.86 / $61.86 / $61.86	Professional	$61.86	$61.86	$61.86
United Facility/Professional Professional Modifier Low / Median / High Price $43.76 / $52.68 / $67.45	Professional	$43.76	$52.68	$67.45