Tynbil: Know the *real* price for healthcare services

Nevada 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 $26.92 / $27.64 / $37.38	Facility	$26.92	$27.64	$37.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.95 / $37.09 / $48.62	Professional	$27.95	$37.09	$48.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.27 / $38.61 / $53.68	Professional	$25.27	$38.61	$53.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.79 / $46.16 / $73.97	Professional	$28.79	$46.16	$73.97
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $28.63 / $49.17 / $67.33	Professional	$28.63	$49.17	$67.33
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $31.12 / $31.12 / $80.79	Professional	$31.12	$31.12	$80.79
United Facility/Professional Professional Modifier Low / Median / High Price $41.82 / $58.80 / $95.21	Professional	$41.82	$58.80	$95.21