Tynbil: Know the *real* price for healthcare services

Colorado 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 $34.78 / $34.78 / $51.81	Facility	$34.78	$34.78	$51.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.26 / $37.86 / $51.81	Professional	$28.26	$37.86	$51.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.54 / $48.84 / $79.40	Professional	$32.54	$48.84	$79.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.84 / $58.93 / $82.76	Professional	$42.84	$58.93	$82.76
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $31.30 / $44.87 / $66.83	Facility	$31.30	$44.87	$66.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.78 / $56.99 / $87.04	Professional	$34.78	$56.99	$87.04
United Facility/Professional Professional Modifier Low / Median / High Price $56.00 / $71.41 / $126.33	Professional	$56.00	$71.41	$126.33