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Extra Time For Complex Ongoing Care Coordination

North Dakota rates for HCPCS 99489

This covers additional clinical staff time spent coordinating care for a patient with multiple, complex chronic health conditions, billed in addition to the initial period of coordination already provided that month. This kind of ongoing coordination — reviewing medications, communicating between specialists, and adjusting the care plan — is done under a supervising clinician's direction rather than during an office visit. It reflects extra time needed for patients whose conditions require more than the usual amount of coordination each month.

Facilitymedian $44 · 10th–90th $25$650%10%20%10th90th$44Professionalmedian $56 · 10th–90th $31$1410%10%10th90th$56$20.0$50.0$100.0$200.0

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
$25.12
Median
$43.65
Typical High
$64.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$44.67
Typical High
$85.11
BCBS
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$123.03
Typical High
$169.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$141.25
Typical High
$218.78
Medica
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$44.67
Typical High
$77.62
Medica
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$87.10
Typical High
$436.52
United
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$74.13
Typical High
$147.91