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Extra Monthly Time Managing Long-Term Conditions

Nebraska 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 $85 · 10th–90th $45$1380%10%10th90th$85Professionalmedian $50 · 10th–90th $41$980%10%20%10th90th$50$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
$52.48
Median
$91.20
Typical High
$131.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$46.77
Typical High
$58.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$125.89
Typical High
$245.47
BCBS
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$83.18
Typical High
$114.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$112.20
Typical High
$141.25
Medica
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$53.70
Typical High
$97.72
Medica
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$114.82
Typical High
$380.19
Midlands
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$112.20
Typical High
$144.54
Midlands
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$134.90
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$107.15
Typical High
$147.91