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Complex Chronic Care Management, First Hour

Florida rates for HCPCS 99487

This service covers the first hour, per month, of behind-the-scenes care coordination for a person with multiple serious, ongoing health conditions. Clinical staff spend this time each month organizing care between different providers, managing medications, and addressing complex needs that require significant medical decision-making, typically without the patient being present. It reflects a higher level of coordination than routine chronic condition management.

Rates data updated July 2026.

Facilitymedian $316 · 10th–90th $43$281,8380%10%10th90th$316Professionalmedian $81 · 10th–90th $47$1290%20%10th90th$81$50.0$500.0$5.0K$50.0K$500.0K

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
$74.13
Typical High
$223.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$81.28
Typical High
$123.03
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$120.23
Typical High
$144.54
AvMed
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$120.23
Typical High
$147.91
AvMed
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$114.82
Typical High
$147.91
Cigna
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$107.15
Typical High
$186.21
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$66,069.34
Median
$199,526.23
Typical High
$389,045.14
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$104.71
Typical High
$131.83
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$204.17
Typical High
$213.80
United
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$79.43
Typical High
$141.25
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$112.20
Typical High
$141.25