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Extra Monthly Time Managing Long-Term Conditions

Oregon 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 $98 · 10th–90th $47$1170%20%10th90th$98Professionalmedian $56 · 10th–90th $42$1260%10%10th90th$56$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
$61.66
Median
$125.89
Typical High
$151.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$50.12
Typical High
$75.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$117.49
Typical High
$162.18
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$95.50
Typical High
$138.04
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$54.95
Typical High
$89.13
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$104.71
Typical High
$154.88
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$117.49
Typical High
$117.49
Providence
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$53.70
Typical High
$89.13
Providence
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$93.33
Typical High
$147.91
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$104.71
Typical High
$154.88
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$109.65
Typical High
$154.88