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Oregon 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 $42 · 10th–90th $23–$510%20%10th90th$42Professionalmedian $35 · 10th–90th $22–$630%10%10th90th$35$20.0$50.0$100.0$200.0$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
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $58.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $28.18 / $56.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $38.02 / $251.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $41.69 / $66.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $44.67 / $60.26
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $28.84 / $47.86
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $45.71 / $64.57
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $48.98 / $51.29
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $28.84 / $50.12
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $46.77 / $79.43
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $48.98 / $66.07
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $47.86 / $67.61