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Missouri 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 $26 · 10th–90th $21–$500%10%20%10th90th$26Professionalmedian $26 · 10th–90th $21–$470%10%20%10th90th$26$1.0$5.0$20.0$100.0$500.0

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
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $25.70 / $46.77
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $18.20 / $18.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $23.44 / $40.74
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $28.84 / $41.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $28.18 / $52.48
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $26.30 / $50.12
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $39.81 / $158.49
Qualchoice
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $33.88 / $33.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $29.51 / $29.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $30.20 / $48.98