Tynbil: Know the *real* price for healthcare services

Nationwide rates for HCPCS 99487

Complex chronic care management services with the following required elements: multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient, chronic conditions that place the patient at significant risk of death, acute exacerbation/decompensation, or functional decline, comprehensive care plan established, implemented, revised, or monitored, moderate or high complexity medical decision making; first 60 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month.

Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $117.49 / $245.47	Facility		$70.79	$117.49	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $89.13 / $141.25	Professional		$56.23	$89.13	$141.25
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $144.54 / $144.54 / $144.54	Professional	25	$144.54	$144.54	$144.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $125.89 / $309.03	Facility		$97.72	$125.89	$309.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $102.33 / $194.98	Professional		$70.79	$102.33	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $316.23 / $1,000.00	Facility		$77.62	$316.23	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $128.82 / $323.59	Professional		$70.79	$128.82	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $131.83 / $549.54	Facility		$69.18	$131.83	$549.54
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $91.20 / $173.78	Professional		$50.12	$91.20	$173.78

Nationwide rates for HCPCS 99487

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