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Extra Monthly Time Managing Long-Term Conditions

Rhode Island 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 $100 · 10th–90th $56$1510%10%10th90th$100Professionalmedian $51 · 10th–90th $42$630%20%10th90th$51$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$50.12
Typical High
$63.10
BCBS
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$100.00
Typical High
$151.36
BCBS
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$56.23
Typical High
$81.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$81.28
Typical High
$117.49
United
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$74.13
Typical High
$97.72