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Chronic Care Management Services

Massachusetts rates for HCPCS 99490

This covers time spent by a care team coordinating and managing the ongoing care of a patient with two or more chronic health conditions, outside of a regular office visit. It typically includes tasks like medication review, care coordination between providers, and check-ins to keep a patient's chronic conditions well managed.

Facilitymedian $56 · 10th–90th $31$1290%20%10th90th$56Professionalmedian $50 · 10th–90th $31$1200%10%20%10th90th$50$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$30.90
Median
$41.69
Typical High
$102.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$45.71
Typical High
$87.10
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$162.18
Typical High
$316.23
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$63.10
Typical High
$169.82
BCBS
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$61.66
Typical High
$128.82
BCBS
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$61.66
Typical High
$97.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$83.18
Typical High
$141.25
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$64.57
Typical High
$83.18
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$74.13
Typical High
$109.65
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$79.43
Typical High
$138.04
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$162.18
Typical High
$316.23
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$63.10
Typical High
$169.82
Tufts
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$72.44
United
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$186.21
Typical High
$398.11
United
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$67.61
Typical High
$165.96