Tynbil: Know the *real* price for healthcare services

Mississippi 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 $28.84 / $38.90 / $51.29	Facility	$28.84	$38.90	$51.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $37.15 / $47.86	Professional	$28.18	$37.15	$47.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $50.12 / $67.61	Professional	$19.95	$50.12	$67.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Professional	$51.29	$51.29	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $48.98 / $66.07	Professional	$35.48	$48.98	$66.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional	$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $46.77 / $64.57	Professional	$33.88	$46.77	$64.57