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Complex Chronic Care Management, First Hour

South Dakota 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 $102 · 10th–90th $69$1820%10%10th90th$102Professionalmedian $102 · 10th–90th $69$2510%10%10th90th$102$50.0$100.0$200.0$500.0

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
$52.48
Median
$52.48
Typical High
$91.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$81.28
Typical High
$117.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$251.19
Typical High
$316.23
Medica
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$102.33
Typical High
$181.97
Medica
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$162.18
Typical High
$831.76
Midlands
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$131.83
Typical High
$199.53
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$158.49
Typical High
$263.03
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$144.54
Typical High
$269.15
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$112.20
Typical High
$204.17