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Complex Chronic Care Management, First Hour

West Virginia 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.

How much does Complex Chronic Care Management, First Hour cost?

$91.20

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $91.20 for this service. The price depends on where it is billed: about $91.20 from a physician practice, and about $107 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$91.20$72.44 to $123
FacilityA hospital or hospital-owned outpatient department$107$67.61 to $339

How much rates vary

Facilitymedian $107 · 10th to 90th $68 to $339Professionalmedian $91 · 10th to 90th $56 to $129
$50$100$200facility $107professional $91

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$75.86
Typical High
$338.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$91.20
Typical High
$128.82
CareSource
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$114.82
CareSource
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$128.82
Typical High
$691.83
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$251.19
Typical High
$398.11
United
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$501.19
United
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$91.20
Typical High
$154.88

Where West Virginia sits

The same service costs 2.6 times more in Minnesota than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

West Virginia· 21st of 51

$91.20

MN $195DE $74.13

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.