go back

Wisconsin 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–$510%20%10th90th$26Professionalmedian $30 · 10th–90th $22–$660%10%10th90th$30$1.0$5.0$20.0$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 / $23.99 / $93.33
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $26.92 / $46.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $30.90 / $77.62
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66.07 / $89.13 / $131.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $38.02 / $89.13
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $25.70 / $46.77
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $46.77 / $64.57
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $25.12 / $46.77
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $63.10 / $158.49
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $87.10
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $66.07 / $112.20
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $40.74 / $67.61
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $251.19
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $46.77 / $158.49
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $33.88 / $36.31
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $63.10 / $87.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $43.65 / $89.13