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Extra Monthly Time Managing Long-Term Conditions

Maryland 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 $68 · 10th–90th $54$890%10%20%10th90th$68Professionalmedian $49 · 10th–90th $40$620%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
$57.54
Median
$57.54
Typical High
$67.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$46.77
Typical High
$61.66
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$53.70
Typical High
$72.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$67.61
Typical High
$109.65
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$52.48
Typical High
$75.86
United
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$67.61
Typical High
$93.33
United
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$64.57
Typical High
$102.33
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$75.86
Typical High
$95.50