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Extra Monthly Time Managing Long-Term Conditions

Washington, DC 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 $47 · 10th–90th $47$580%20%40%90th$47Professionalmedian $49 · 10th–90th $40$620%10%20%10th90th$49$50.0$100.0

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
$46.77
Median
$46.77
Typical High
$57.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$46.77
Typical High
$60.26
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$53.70
Typical High
$63.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$58.88
Typical High
$134.90
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$45.71
Typical High
$70.79
United
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$58.88
Typical High
$125.89