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Nebraska 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 $21–$450%20%40%10th90th$25Professionalmedian $26 · 10th–90th $21–$460%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
$22.91 / $22.91 / $23.99
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $25.12 / $44.67
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
$104.71 / $109.65 / $147.91
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $35.48 / $47.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $43.65 / $63.10
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $25.70 / $44.67
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $52.48 / $158.49
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $51.29 / $63.10
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $52.48 / $56.23
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $34.67 / $46.77
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $46.77 / $60.26