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Chronic Care Management Services

Wisconsin 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 $55 · 10th–90th $42$1620%10%10th90th$55Professionalmedian $56 · 10th–90th $34$1200%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
$42.66
Median
$91.20
Typical High
$114.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$51.29
Typical High
$104.71
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$75.86
Typical High
$128.82
CareSource
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$36.31
CareSource
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$51.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$194.98
Typical High
$309.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$131.83
Typical High
$181.97
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$53.70
Typical High
$81.28
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$109.65
Typical High
$158.49
Medica
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$53.70
Typical High
$87.10
Medica
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$85.11
Typical High
$398.11
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$70.79
Network Health
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$46.77
Network Health
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$64.57
Typical High
$134.90
Quartz
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$93.33
Typical High
$169.82
Quartz
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$316.23
Quartz
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$114.82
Typical High
$398.11
Security Health
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$74.13
Security Health
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$74.13
Typical High
$128.82
United
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$354.81
United
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$64.57
Typical High
$107.15