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Medication Management During A Therapy Session

West Virginia rates for HCPCS 90863

Prescribing and reviewing psychiatric medicines during the same visit as a talking-therapy session. The clinician checks how the medicine is working, watches for side effects, and adjusts the dose or the prescription. It is billed in addition to the therapy itself.

Rates data updated October 2026.

How much does Medication Management During A Therapy Session cost?

$26.30

Typical physician fee. In West Virginia, October 2026.

Insurers have agreed to pay about $26.30 for this service. Most negotiated rates run $23.99 to $26.30.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $35 · 10th to 90th $35 to $251Professionalmedian $26 · 10th to 90th $20 to $42
$20$50$100$200facility $35professional $26

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$24.55
Median
$26.30
Typical High
$26.30
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$12.30
Median
$12.88
Typical High
$12.88
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$4.90
Median
$5.25
Typical High
$5.25
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$3.72
Median
$3.89
Typical High
$3.89
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$2.45
Median
$2.63
Typical High
$2.63
Cigna
Setting
Facility
Modifier
None
Typical Low
$35.48
Median
$35.48
Typical High
$251.19
Cigna
Setting
Professional
Modifier
None
Typical Low
$17.38
Median
$23.44
Typical High
$125.89
United
Setting
Professional
Modifier
None
Typical Low
$17.78
Median
$29.51
Typical High
$60.26

Where West Virginia sits

The same service costs 2.8 times more in New York than in Georgia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

West Virginia· 27th of 51

$26.30

NY $52.48GA $18.62

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.