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Extra Monthly Time Managing Long-Term Conditions

Nevada 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 $52 · 10th–90th $44$520%50%10th$52Professionalmedian $50 · 10th–90th $41$650%20%10th90th$50$20.0$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
$43.65
Median
$46.77
Typical High
$52.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$50.12
Typical High
$61.66
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$53.70
Typical High
$93.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$66.07
Typical High
$97.72
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$63.10
Typical High
$87.10
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$93.33
Typical High
$93.33
Select Health
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$61.66
Typical High
$69.18
United
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$53.70
United
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$66.07
Typical High
$104.71