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Ohio 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 $74 · 10th–90th $22–$780%50%10th90th$74Professionalmedian $25 · 10th–90th $19–$460%10%10th90th$25$0.5$2.0$10.0$50.0$200.0

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
$21.88 / $74.13 / $77.62
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $25.70 / $45.71
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
$11.22 / $18.62 / $38.90
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $16.60 / $19.05
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $31.62 / $31.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $27.54 / $57.54
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $38.02 / $38.02
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $27.54 / $45.71
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $28.84 / $41.69
Optum
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $26.92 / $36.31
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $27.54 / $39.81
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $28.84 / $51.29