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Extra Monthly Time Managing Long-Term Conditions

Iowa 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 $71 · 10th–90th $45$1100%10%10th90th$71Professionalmedian $49 · 10th–90th $40$720%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
$44.67
Median
$93.33
Typical High
$109.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$48.98
Typical High
$64.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$109.65
Typical High
$138.04
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$60.26
Typical High
$194.98
Medica
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$64.57
Typical High
$223.87
Medica
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$100.00
Typical High
$323.59
Midlands
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$100.00
Typical High
$144.54
Midlands
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$87.10
United
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$72.44
Typical High
$125.89
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$70.79
Typical High
$85.11