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Extra Monthly Time Managing Long-Term Conditions

Connecticut rates for HCPCS 99437

Covers further time a doctor or other qualified professional spends during a month managing someone who has two or more ongoing health conditions: keeping the care plan up to date, adjusting treatment, and coordinating with the other clinicians involved. It is billed in addition to the main monthly management service.

Facilitymedian $62 · 10th–90th $62$720%20%40%90th$62Professionalmedian $50 · 10th–90th $40$720%10%20%10th90th$50$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$72.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$48.98
Typical High
$64.57
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$67.61
Typical High
$104.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$79.43
Typical High
$114.82
United
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$70.79
Typical High
$104.71