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Extra Monthly Time Managing Long-Term Conditions

Washington 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 $72 · 10th–90th $48$1170%10%10th90th$72Professionalmedian $59 · 10th–90th $42$1070%10%10th90th$59$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
$67.61
Median
$107.15
Typical High
$134.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$51.29
Typical High
$74.13
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$89.13
Typical High
$138.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$95.50
Typical High
$151.36
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$66.07
Typical High
$114.82
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$66.07
Typical High
$104.71
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$57.54
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$117.49
Typical High
$117.49
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$79.43
Typical High
$79.43
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$91.20
Typical High
$147.91
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$87.10
Typical High
$125.89
United
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$57.54
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$89.13
Typical High
$147.91
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$64.57
Typical High
$91.20