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Complex Chronic Care Management, First Hour

South Carolina 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 $93 · 10th–90th $66$1580%10%20%10th90th$93Professionalmedian $91 · 10th–90th $45$1290%10%20%10th90th$91$50.0$100.0$200.0$500.0$1.0K

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
$75.86
Median
$75.86
Typical High
$109.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$91.20
Typical High
$128.82
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$138.04
BCBS
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$186.21
Typical High
$204.17
Cigna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$109.65
Typical High
$194.98
Medcost
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$91.20
Typical High
$138.04
Medcost
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$43.65
Typical High
$43.65
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$1,174.90
United
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$87.10
Typical High
$154.88