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Extra Monthly Time Managing Long-Term Conditions

Montana 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 $87 · 10th–90th $47$1020%20%10th90th$87Professionalmedian $52 · 10th–90th $42$930%10%20%10th90th$52$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
$51.29
Typical High
$67.61
BCBS
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$93.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$93.33
Typical High
$112.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$79.43
Typical High
$125.89
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$89.13
Typical High
$104.71
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$89.13
Typical High
$104.71
Providence
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$53.70
Typical High
$85.11
Providence
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$79.43
Typical High
$112.20
United
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
United
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$93.33
Typical High
$114.82