Tynbil: Know the *real* price for healthcare services

West Virginia 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 $33.61 / $33.61 / $44.28	Facility	$33.61	$33.61	$44.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.17 / $36.75 / $47.20	Professional	$27.17	$36.75	$47.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.40 / $32.28 / $60.24	Facility	$28.40	$32.28	$60.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional	$40.00	$40.00	$40.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.43 / $47.43 / $47.43	Facility	$47.43	$47.43	$47.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.61 / $46.67 / $165.28	Professional	$34.61	$46.67	$165.28
United Facility/Professional Professional Modifier Low / Median / High Price $38.14 / $60.27 / $82.15	Professional	$38.14	$60.27	$82.15