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Extra Monthly Time Managing Long-Term Conditions

Maine 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.

Professionalmedian $51 · 10th–90th $40$790%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
$39.81
Median
$50.12
Typical High
$63.10
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$69.18
Typical High
$97.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$70.79
Typical High
$102.33
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$64.57
Typical High
$117.49
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$50.12
Typical High
$64.57
United
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$75.86
Typical High
$104.71