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Extra Monthly Time Managing Long-Term Conditions

South 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 $52 · 10th–90th $45$760%20%10th90th$52Professionalmedian $52 · 10th–90th $40$1100%10%20%10th90th$52$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
$54.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$45.71
Typical High
$58.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$112.20
Typical High
$138.04
Medica
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$52.48
Typical High
$97.72
Medica
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$112.20
Typical High
$380.19
Midlands
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$100.00
Typical High
$117.49
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$77.62
Typical High
$114.82
United
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$100.00
Typical High
$131.83
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$72.44
Typical High
$87.10