Tynbil: Know the *real* price for healthcare services

New Hampshire 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 $46.58 / $46.58 / $69.15	Facility	$46.58	$46.58	$69.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.46 / $39.44 / $52.10	Professional	$30.46	$39.44	$52.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.29 / $51.51 / $85.47	Professional	$34.29	$51.51	$85.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.05 / $62.44 / $110.14	Professional	$42.05	$62.44	$110.14
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $35.34 / $63.62 / $121.05	Professional	$35.34	$63.62	$121.05
United Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $79.78 / $128.97	Professional	$66.47	$79.78	$128.97
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $27.87 / $35.94 / $46.37	Professional	$27.87	$35.94	$46.37