Tynbil: Know the *real* price for healthcare services

Florida 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 $28.66 / $37.32 / $53.40	Facility	$28.66	$37.32	$53.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.66 / $37.32 / $48.89	Professional	$28.66	$37.32	$48.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.76 / $48.41 / $77.90	Professional	$31.76	$48.41	$77.90
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $34.64 / $35.97 / $44.96	Professional	$34.64	$35.97	$44.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.51 / $79.74 / $136.38	Professional	$58.51	$79.74	$136.38
United Facility/Professional Professional Modifier Low / Median / High Price $36.59 / $50.26 / $91.98	Professional	$36.59	$50.26	$91.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $43.07 / $43.07	Professional	$29.27	$43.07	$43.07