Tynbil: Know the *real* price for healthcare services

North Dakota 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 $34.65 / $34.65 / $47.46	Facility	$34.65	$34.65	$47.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.57 / $41.87 / $55.19	Professional	$31.57	$41.87	$55.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.17 / $85.02 / $117.71	Professional	$60.17	$85.02	$117.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.52 / $110.45 / $154.00	Professional	$61.52	$110.45	$154.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.46 / $42.36 / $70.51	Facility	$29.46	$42.36	$70.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $54.37 / $98.86 / $298.80	Professional	$54.37	$98.86	$298.80
United Facility/Professional Professional Modifier Low / Median / High Price $54.37 / $89.44 / $123.50	Professional	$54.37	$89.44	$123.50