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 $29.93 / $39.27 / $49.99	Professional	$29.93	$39.27	$49.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.64 / $99.32 / $989.52	Facility	$59.64	$99.32	$989.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.68 / $50.69 / $64.37	Professional	$37.68	$50.69	$64.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.19 / $50.72 / $100.54	Professional	$33.19	$50.72	$100.54
United Facility/Professional Professional Modifier Low / Median / High Price $50.53 / $62.70 / $83.60	Professional	$50.53	$62.70	$83.60