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Extra Monthly Time Managing Long-Term Conditions

Utah 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 $52$620%20%40%90th$52Professionalmedian $51 · 10th–90th $42$690%20%10th90th$51$50.0$100.0

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
$52.48
Typical High
$61.66
Aetna
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$50.12
Typical High
$63.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$74.13
Typical High
$97.72
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$120.23
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$69.18
Typical High
$89.13
Select Health
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$60.26
Typical High
$72.44
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$61.66
Typical High
$100.00
United
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$66.07
Typical High
$91.20