Tynbil: Know the *real* price for healthcare services

Rhode Island 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 $28.18 / $38.02 / $53.70	Professional	$28.18	$38.02	$53.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $79.43 / $131.83	Facility	$40.74	$79.43	$131.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $40.74 / $60.26	Professional	$29.51	$40.74	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $56.23 / $104.71	Professional	$34.67	$56.23	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $54.95 / $77.62	Professional	$38.02	$54.95	$77.62