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Complex Chronic Care Management, First Hour

Rhode Island 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 $234 · 10th–90th $93$9770%20%10th90th$234Professionalmedian $85 · 10th–90th $62$1230%20%10th90th$85$0.0$0.2$2.0$20.0$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
Aetna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$85.11
Typical High
$123.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$213.80
Typical High
$354.81
BCBS
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$114.82
Typical High
$158.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$125.89
Typical High
$194.98
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$389.05
United
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$100.00
Typical High
$173.78