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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 October 2026.

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

$102

Typical negotiated rate. In West Virginia, October 2026.

Insurers have agreed to pay about $102 for this service. The price depends on where it is billed: about $100 from a physician practice, and about $251 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$100$75.86 to $107
FacilityA hospital or hospital-owned outpatient department$251$251 to $501

How much rates vary

Facilitymedian $251 · 10th to 90th $112 to $501Professionalmedian $100 · 10th to 90th $72 to $129
$50$100$200$500facility $251professional $100

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$75.86
Median
$85.11
Typical High
$107.15
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$38.02
Median
$44.67
Typical High
$53.70
CareSource
Setting
Professional
Modifier
None
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
Cigna
Setting
Facility
Modifier
None
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
Cigna
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$114.82
Typical High
$691.83
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$251.19
Median
$251.19
Typical High
$501.19
United
Setting
Facility
Modifier
None
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
United
Setting
Professional
Modifier
None
Typical Low
$48.98
Median
$91.20
Typical High
$190.55

Where West Virginia sits

The same service costs 3.4 times more in Alaska than in Kentucky. 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· 24th of 51

$102

AK $219KY $64.57

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.