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Virginia 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 $22–$500%20%10th90th$26Professionalmedian $26 · 10th–90th $22–$470%20%10th90th$26$1.0$5.0$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
$21.88 / $22.91 / $467.74
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $25.12 / $46.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $28.84 / $43.65
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $27.54 / $33.11
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
$21.88 / $29.51 / $57.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $23.99 / $31.62
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $46.77 / $46.77
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $26.92 / $46.77
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $20.42 / $40.74
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $39.81 / $77.62
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $41.69 / $77.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $30.90 / $52.48