go back

Missouri rates for HCPCS 90792

Psychiatric diagnostic evaluation with medical services

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.41 / $220.21 / $278.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.75 / $166.38 / $251.54
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$172.37 / $172.37 / $172.37
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.12 / $168.23 / $243.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.83 / $180.83 / $180.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.61 / $140.97 / $227.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.00 / $179.66 / $330.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.78 / $195.75 / $345.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.93 / $206.38 / $1,234.10
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.18 / $245.03 / $319.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.82 / $177.47 / $338.86