go back

North Carolina rates for HCPCS 99489

Complex chronic care management services with the following required elements: multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient, chronic conditions that place the patient at significant risk of death, acute exacerbation/decompensation, or functional decline, comprehensive care plan established, implemented, revised, or monitored, moderate or high complexity medical decision making; each additional 30 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.95 / $67.19 / $121.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.02 / $49.76 / $75.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.50 / $57.03 / $85.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.07 / $54.97 / $94.06
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.53 / $49.76 / $77.90
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.05 / $45.05 / $60.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.51 / $54.10 / $92.84
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.33 / $239.83 / $239.83
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.14 / $314.14 / $435.65