go back

Arizona rates for HCPCS 90863

Pharmacologic management, including prescription and review of medication, when performed with psychotherapy services (List separately in addition to the code for primary procedure)

Facilitymedian $25 · 10th–90th $20–$440%10%20%10th90th$25Professionalmedian $26 · 10th–90th $21–$470%10%20%10th90th$26$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $20.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $25.12 / $46.77
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $18.20 / $18.20
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $26.30 / $29.51
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $21.88 / $29.51
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $38.02 / $38.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $28.18 / $56.23
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $25.12 / $45.71
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $38.90 / $158.49
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $25.70 / $42.66
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $26.92 / $50.12