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Georgia 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 $40 · 10th–90th $40–$400%50%100%$40Professionalmedian $28 · 10th–90th $22–$460%20%10th90th$28$1.0$5.0$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $39.81 / $39.81
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $26.92 / $45.71
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $17.78 / $18.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $29.51 / $38.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $28.84 / $57.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $27.54 / $37.15
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $25.12 / $63.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $31.62 / $57.54