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Extra Monthly Time Managing Long-Term Conditions

Illinois 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 $60 · 10th–90th $42$1100%10%10th90th$60Professionalmedian $50 · 10th–90th $40$720%10%20%10th90th$50$50.0$100.0$200.0$500.0$1.0K

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
$41.69
Median
$60.26
Typical High
$109.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$50.12
Typical High
$64.57
BCBS
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$512.86
Typical High
$1,000.00
BCBS
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$56.23
Typical High
$60.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$74.13
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$67.61
Typical High
$204.17
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$61.66
Typical High
$77.62
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$93.33
United
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$70.79
Typical High
$107.15