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Extra Time For Complex Ongoing Care Coordination

South 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.

Rates data updated July 2026.

Facilitymedian $55 · 10th–90th $37$1020%10%20%10th90th$55Professionalmedian $55 · 10th–90th $37$1320%10%10th90th$55$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
$25.70
Median
$25.70
Typical High
$44.67
Aetna
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$44.67
Typical High
$61.66
Cigna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$134.90
Typical High
$169.82
Medica
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$54.95
Typical High
$102.33
Medica
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$81.28
Typical High
$436.52
Midlands
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$70.79
Typical High
$104.71
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$85.11
Typical High
$141.25
United
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$74.13
Typical High
$144.54
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$61.66
Typical High
$109.65