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Extra Monthly Time Managing Long-Term Conditions

Minnesota 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 $115 · 10th–90th $50$4170%10%10th90th$115Professionalmedian $83 · 10th–90th $46$1550%5%10th90th$83$50.0$100.0$200.0$500.0

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
$45.71
Median
$54.95
Typical High
$54.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$48.98
Typical High
$61.66
BCBS
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$91.20
Typical High
$302.00
BCBS
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$109.65
Typical High
$165.96
BCBS
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$54.95
Median
$87.10
Typical High
$134.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$223.87
Typical High
$524.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$151.36
Typical High
$257.04
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$213.80
Typical High
$416.87
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$151.36
Typical High
$208.93
Medica
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$66.07
Typical High
$123.03
Medica
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$134.90
Typical High
$323.59
United
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$117.49
Typical High
$194.98