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Interactive Complexity Add-On

Maryland rates for HCPCS 90785

An add-on service reported alongside a separate psychiatric or therapy visit when communication during the appointment is meaningfully more complicated than usual, for example because an interpreter, a play-based approach for a young child, or coordination with other caregivers or agencies is needed. It reflects the extra effort involved in delivering care effectively under these circumstances rather than a separate visit on its own. It is never billed by itself.

Rates data updated July 2026.

Facilitymedian $10 · 10th–90th $10$120%50%90th$10Professionalmedian $12 · 10th–90th $5$180%10%20%10th90th$12$1.0$2.0$5.0$10.0$20.0$50.0$100.0

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
$9.77
Median
$9.77
Typical High
$12.02
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$12.30
Typical High
$17.38
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$16.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.39
Median
$12.02
Typical High
$22.91
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$12.88
Typical High
$17.38
United
Setting
Facility
Modifier
Global
Typical Low
$3.63
Median
$11.22
Typical High
$15.14
United
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$14.45
Typical High
$28.84
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$19.95
Typical High
$22.91