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Extra Monthly Time Managing Long-Term Conditions

Vermont 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.

Professionalmedian $54 · 10th–90th $42$720%10%20%10th90th$54$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
Professional
Modifier
Global
Typical Low
$41.69
Median
$53.70
Typical High
$67.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$72.44
Typical High
$107.15
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$138.04
United
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$87.10
Typical High
$147.91