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Minnesota 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 $35 · 10th–90th $24–$720%20%10th90th$35Professionalmedian $39 · 10th–90th $24–$780%5%10%10th90th$39$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $33.11 / $34.67
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $25.70 / $45.71
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $42.66 / $79.43
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $51.29 / $83.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58.88 / $77.62 / $186.21
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $35.48 / $64.57
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58.88 / $75.86 / $151.36
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $30.20 / $58.88
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $33.88 / $47.86
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $57.54 / $158.49
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $51.29 / $91.20