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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.

Facilitymedian $107 · 10th–90th $68$3390%20%10th90th$107Professionalmedian $91 · 10th–90th $56$1290%10%10th90th$91$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
$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