Tynbil: Know the *real* price for healthcare services

Missouri 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 $25.51 / $42.59 / $67.31	Facility	$25.51	$42.59	$67.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.67 / $37.83 / $49.57	Professional	$28.67	$37.83	$49.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.73 / $42.77 / $64.81	Professional	$30.73	$42.77	$64.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.84 / $52.76 / $75.56	Professional	$33.84	$52.76	$75.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.91 / $40.65 / $76.05	Facility	$27.91	$40.65	$76.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $42.95 / $62.89 / $298.80	Professional	$42.95	$62.89	$298.80
United Facility/Professional Professional Modifier Low / Median / High Price $40.88 / $57.89 / $83.49	Professional	$40.88	$57.89	$83.49