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Extra Monthly Time Managing Long-Term Conditions

Idaho 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 $58 · 10th–90th $43$2190%10%20%10th90th$58Professionalmedian $51 · 10th–90th $41$850%10%20%10th90th$51$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
Professional
Modifier
Global
Typical Low
$40.74
Median
$50.12
Typical High
$67.61
BCBS
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$239.88
Typical High
$281.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$97.72
Typical High
$117.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$83.18
Typical High
$117.49
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$54.95
Typical High
$83.18
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$75.86
Typical High
$114.82
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$77.62
Typical High
$97.72
Select Health
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$60.26
Typical High
$97.72
United
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$74.13
Typical High
$102.33