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Extra Monthly Time Managing Long-Term Conditions

Wisconsin 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 $55 · 10th–90th $43$1450%10%20%10th90th$55Professionalmedian $56 · 10th–90th $42$1350%10%10th90th$56$20.0$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
$42.66
Median
$91.20
Typical High
$109.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$50.12
Typical High
$67.61
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$77.62
Typical High
$147.91
Cigna
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$186.21
Typical High
$295.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$128.82
Typical High
$173.78
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$53.70
Typical High
$77.62
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$107.15
Typical High
$158.49
Medica
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$52.48
Typical High
$77.62
Medica
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$125.89
Typical High
$380.19
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$70.79
Network Health
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$60.26
Typical High
$134.90
Quartz
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$97.72
Typical High
$173.78
Quartz
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$323.59
Quartz
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$138.04
Typical High
$380.19
Security Health
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$91.20
Security Health
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
Security Health
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$83.18
Typical High
$173.78
United
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$93.33
Typical High
$162.18