Tynbil: Know the *real* price for healthcare services

Washington, DC 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 $33.78 / $33.78 / $47.10	Facility	$33.78	$33.78	$47.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.82 / $39.27 / $47.20	Professional	$32.82	$39.27	$47.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $34.40 / $36.22 / $50.66	Professional	$34.40	$36.22	$50.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.27 / $45.73 / $108.43	Professional	$30.27	$45.73	$108.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.19 / $42.77 / $107.96	Professional	$30.19	$42.77	$107.96
United Facility/Professional Professional Modifier Low / Median / High Price $45.20 / $84.33 / $114.78	Professional	$45.20	$84.33	$114.78