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Extra Monthly Time Managing Long-Term Conditions

Georgia 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 $40$470%20%40%10th$47Professionalmedian $50 · 10th–90th $40$720%20%10th90th$50$20.0$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
$42.66
Typical High
$46.77
Aetna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$48.98
Typical High
$67.61
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$54.95
Typical High
$63.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$75.86
Typical High
$117.49
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$64.57
Typical High
$125.89
United
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$93.33
United
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$69.18
Typical High
$117.49