Tynbil: Know the *real* price for healthcare services

New Jersey 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 $30.91 / $37.52 / $43.19	Facility	$30.91	$37.52	$43.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.11 / $36.69 / $47.20	Professional	$27.11	$36.69	$47.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.27 / $53.71 / $87.92	Professional	$27.27	$53.71	$87.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $77.38 / $77.38 / $77.38	Professional	$77.38	$77.38	$77.38
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.89 / $53.99 / $79.91	Professional	$45.89	$53.99	$79.91
United Facility/Professional Professional Modifier Low / Median / High Price $38.27 / $58.77 / $95.07	Professional	$38.27	$58.77	$95.07