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Complex Chronic Care Management, First Hour

Wisconsin 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 $115 · 10th–90th $74$2690%10%10th90th$115Professionalmedian $115 · 10th–90th $69$2630%10%10th90th$115$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
$77.62
Median
$114.82
Typical High
$354.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$89.13
Typical High
$208.93
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$144.54
Typical High
$257.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$426.58
Typical High
$676.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$257.04
Typical High
$389.05
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$107.15
Typical High
$165.96
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$223.87
Typical High
$338.84
Medica
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$107.15
Typical High
$173.78
Medica
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$177.83
Typical High
$831.76
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$70.79
Network Health
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
Network Health
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$134.90
Typical High
$269.15
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$107.15
Typical High
$165.96
Quartz
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$190.55
Typical High
$363.08
Quartz
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$575.44
Quartz
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$251.19
Typical High
$831.76
Security Health
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$154.88
Security Health
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$162.18
Typical High
$281.84
United
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$131.83
Typical High
$245.47