Tynbil: Know the *real* price for healthcare services

Montana 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 Professional Modifier Low / Median / High Price $27.64 / $38.71 / $55.19	Professional	$27.64	$38.71	$55.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.16 / $54.16 / $74.66	Professional	$54.16	$54.16	$74.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.16 / $54.16 / $88.75	Facility	$54.16	$54.16	$88.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.04 / $63.46 / $116.98	Professional	$46.04	$63.46	$116.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.12 / $48.62 / $73.12	Facility	$29.12	$48.62	$73.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.10 / $54.16 / $76.20	Professional	$36.10	$54.16	$76.20
United Facility/Professional Professional Modifier Low / Median / High Price $72.81 / $81.22 / $114.81	Professional	$72.81	$81.22	$114.81