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Extra Monthly Time Managing Long-Term Conditions

Florida 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 $48 · 10th–90th $40$980%20%10th90th$48Professionalmedian $49 · 10th–90th $40$630%10%20%10th90th$49$50.0$100.0$200.0

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
$39.81
Median
$47.86
Typical High
$97.72
Aetna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$48.98
Typical High
$61.66
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$67.61
AvMed
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$52.48
Typical High
$66.07
AvMed
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$52.48
Typical High
$67.61
Cigna
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$66.07
Typical High
$100.00
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$47.86
Typical High
$58.88
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$69.18
United
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$60.26
Typical High
$100.00
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$48.98
Typical High
$63.10