go back

Pennsylvania rates for HCPCS 90792

Psychiatric diagnostic evaluation with medical services

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.13 / $194.39 / $873.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.00 / $156.99 / $228.57
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$172.37 / $172.37 / $354.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.41 / $175.17 / $299.55
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.59 / $182.00 / $220.76
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.07 / $231.85 / $332.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$280.49 / $280.49 / $280.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.00 / $170.13 / $324.50
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.93 / $257.45 / $285.73
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.12 / $219.00 / $222.40
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.72 / $200.14 / $237.25
Independence Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.10 / $200.69 / $224.77
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.13 / $280.60 / $873.51
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.32 / $166.36 / $277.88
Martin's Point
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$172.37 / $172.37 / $354.00
Optum
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.50 / $167.90 / $237.11
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$733.90 / $733.90 / $1,208.09
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.00 / $154.78 / $217.67
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$280.49 / $280.49 / $280.49
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.00 / $170.13 / $312.83
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.43 / $114.32 / $192.66
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.30 / $169.89 / $196.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.75 / $174.13 / $298.72