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Extra Monthly Time Managing Long-Term Conditions

North Dakota 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 $55 · 10th–90th $46$620%20%40%10th90th$55Professionalmedian $59 · 10th–90th $42$1260%10%10th90th$59$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
$45.71
Median
$50.12
Typical High
$58.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$50.12
Typical High
$67.61
BCBS
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$112.20
Typical High
$138.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$125.89
Typical High
$177.83
Medica
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$54.95
Typical High
$87.10
Medica
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$117.49
Typical High
$380.19
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$100.00
Typical High
$144.54